{
  "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-r4-endpoint</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-r4-media</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-specimen</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-document-reference</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-observation-pregnancyintent</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-observation-pregnancystatus</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-smokingstatus</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-observation-occupation</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-blood-pressure</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-bp-data-absent-reason</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-bmi</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-pediatric-bmi-for-age</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-body-height</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-us-core-body-temperature"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-us-core-body-temperature",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature|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": "8310-5",
              "display": "Body temperature"
            }
          ],
          "text": "Body temperature"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "1999-07-02",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "valueQuantity": {
          "value": 36.6,
          "unit": "Cel",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-body-temperature</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-us-core-body-weight"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-us-core-body-weight",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight|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": "29463-7",
              "display": "Body Weight"
            }
          ],
          "text": "Body Weight"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "1999-07-02",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "valueQuantity": {
          "value": 20.09,
          "unit": "kg",
          "system": "http://unitsofmeasure.org",
          "code": "kg"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-body-weight</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-head-circumference-percentile"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-head-circumference-percentile",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile|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": "8289-1",
              "display": "Head Occipital-frontal circumference Percentile"
            }
          ],
          "text": "Head Occipital-frontal circumference Percentile"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "2020-07-01",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "valueQuantity": {
          "value": 82,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-head-circumference-percentile</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-us-core-heart-rate"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-us-core-heart-rate",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate|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": "8867-4",
              "display": "Heart Rate"
            }
          ],
          "text": "Heart Rate"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "1999-07-02",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "valueQuantity": {
          "value": 44,
          "unit": "beats/min",
          "system": "http://unitsofmeasure.org",
          "code": "/min"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-heart-rate</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-us-core-pulse-oximetry"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-us-core-pulse-oximetry",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry|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": "59408-5",
              "display": "Oxygen saturation in Arterial blood by Pulse oximetry"
            },
            {
              "system": "http://loinc.org",
              "code": "2708-6",
              "display": "Oxygen saturation in Arterial blood"
            }
          ],
          "text": "Oxygen saturation in Arterial blood by Pulse oximetry"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "1999-07-02",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "valueQuantity": {
          "value": 99,
          "unit": "%O2",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "3151-8",
                  "display": "Inhaled oxygen flow rate"
                }
              ],
              "text": "Inhaled oxygen flow rate"
            },
            "valueQuantity": {
              "value": 2,
              "unit": "L/min",
              "system": "http://unitsofmeasure.org",
              "code": "L/min"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "3150-0",
                  "display": "Inhaled oxygen concentration"
                }
              ],
              "text": "Inhaled oxygen concentration"
            },
            "valueQuantity": {
              "value": 21,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-pulse-oximetry</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-us-core-respiratory-rate"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-us-core-respiratory-rate",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate|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": "9279-1",
              "display": "Respiratory rate"
            }
          ],
          "text": "Respiratory rate"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "1999-07-02",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "valueQuantity": {
          "value": 26,
          "unit": "breaths per minute",
          "system": "http://unitsofmeasure.org",
          "code": "/min"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-us-core-respiratory-rate</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-pediatric-weight-for-height"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-pediatric-weight-for-height",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-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": "77606-2",
              "display": "Weight-for-length Per age and sex"
            }
          ],
          "text": "Weight-for-length Per age and sex"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "2020-07-02",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "valueQuantity": {
          "value": 65,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-pediatric-weight-for-height</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Provenance/usqualitycore-provenance"
      },
      "resource": {
        "resourceType": "Provenance",
        "id": "usqualitycore-provenance",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance|6.1.0"
          ]
        },
        "target": [
          {
            "reference": "Patient/usqualitycore-patient"
          },
          {
            "reference": "Specimen/usqualitycore-specimen"
          },
          {
            "reference": "DocumentReference/usqualitycore-document-reference"
          },
          {
            "reference": "Observation/usqualitycore-us-core-observation-pregnancyintent"
          },
          {
            "reference": "Observation/usqualitycore-us-core-observation-pregnancystatus"
          },
          {
            "reference": "Observation/usqualitycore-us-core-smokingstatus"
          },
          {
            "reference": "Observation/usqualitycore-us-core-observation-occupation"
          },
          {
            "reference": "Observation/usqualitycore-us-core-blood-pressure"
          },
          {
            "reference": "Observation/usqualitycore-us-core-bp-data-absent-reason"
          },
          {
            "reference": "Observation/usqualitycore-us-core-bmi"
          },
          {
            "reference": "Observation/usqualitycore-pediatric-bmi-for-age"
          },
          {
            "reference": "Observation/usqualitycore-us-core-body-height"
          },
          {
            "reference": "Observation/usqualitycore-us-core-body-temperature"
          },
          {
            "reference": "Observation/usqualitycore-us-core-body-weight"
          },
          {
            "reference": "Observation/usqualitycore-head-circumference-percentile"
          },
          {
            "reference": "Observation/usqualitycore-us-core-heart-rate"
          },
          {
            "reference": "Observation/usqualitycore-us-core-pulse-oximetry"
          },
          {
            "reference": "Observation/usqualitycore-us-core-respiratory-rate"
          },
          {
            "reference": "Observation/usqualitycore-pediatric-weight-for-height"
          },
          {
            "reference": "AdverseEvent/usqualitycore-adverse-event"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup1"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup10"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup11"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup12"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup13"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup14"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup15"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup16"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup17"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup18"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup19"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup2"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup20"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup3"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup4"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup5"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup6"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup7"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup8"
          },
          {
            "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup9"
          },
          {
            "reference": "CarePlan/usqualitycore-care-plan"
          },
          {
            "reference": "CareTeam/usqualitycore-care-team"
          },
          {
            "reference": "Condition/usqualitycore-condition-encounter-diagnosis"
          },
          {
            "reference": "Condition/usqualitycore-condition-problems-health-concerns"
          },
          {
            "reference": "Coverage/usqualitycore-coverage"
          },
          {
            "reference": "Device/usqualitycore-device"
          },
          {
            "reference": "DeviceRequest/usqualitycore-devicenotrequested"
          },
          {
            "reference": "DeviceRequest/usqualitycore-devicerequest"
          },
          {
            "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab"
          },
          {
            "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
          },
          {
            "reference": "Encounter/usqualitycore-encounter"
          },
          {
            "reference": "FamilyMemberHistory/usqualitycore-family-member-history"
          },
          {
            "reference": "Goal/usqualitycore-goal"
          },
          {
            "reference": "Group/usqualitycore-group"
          },
          {
            "reference": "Immunization/usqualitycore-immunization"
          },
          {
            "reference": "Immunization/usqualitycore-immunizationnotdone"
          },
          {
            "reference": "Immunization/usqualitycore-immunizationnotdone-2"
          },
          {
            "reference": "MedicationAdministration/usqualitycore-medicationadministration"
          },
          {
            "reference": "MedicationAdministration/usqualitycore-medicationadministrationnotdone"
          },
          {
            "reference": "MedicationDispense/usqualitycore-medicationdispense"
          },
          {
            "reference": "MedicationDispense/usqualitycore-medicationdispensedeclined"
          },
          {
            "reference": "MedicationRequest/usqualitycore-medicationnotrequested"
          },
          {
            "reference": "MedicationRequest/usqualitycore-medicationrequest"
          },
          {
            "reference": "Observation/usqualitycore-observation-clinical-result"
          },
          {
            "reference": "Observation/usqualitycore-observation-clinical-result-2"
          },
          {
            "reference": "Observation/usqualitycore-observation-clinical-result-3"
          },
          {
            "reference": "Observation/usqualitycore-observation-clinical-result-4"
          },
          {
            "reference": "Observation/usqualitycore-observation-lab"
          },
          {
            "reference": "Observation/usqualitycore-observation-lab-2"
          },
          {
            "reference": "Observation/usqualitycore-observation-lab-3"
          },
          {
            "reference": "Observation/usqualitycore-observation-lab-4"
          },
          {
            "reference": "Observation/usqualitycore-observation-screening-assessment"
          },
          {
            "reference": "Observation/usqualitycore-observation-screening-assessment-2"
          },
          {
            "reference": "Observation/usqualitycore-observation-screening-assessment-3"
          },
          {
            "reference": "Observation/usqualitycore-observation-screening-assessment-4"
          },
          {
            "reference": "Observation/usqualitycore-observationcancelled"
          },
          {
            "reference": "Procedure/usqualitycore-procedure"
          },
          {
            "reference": "Procedure/usqualitycore-procedurenotdone"
          },
          {
            "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response"
          },
          {
            "reference": "RelatedPerson/usqualitycore-related-person"
          },
          {
            "reference": "ServiceRequest/usqualitycore-servicenotrequested"
          },
          {
            "reference": "ServiceRequest/usqualitycore-servicerequest"
          },
          {
            "reference": "Observation/usqualitycore-simple-observation"
          },
          {
            "reference": "Observation/usqualitycore-simple-observation-2"
          },
          {
            "reference": "Observation/usqualitycore-simple-observation-3"
          },
          {
            "reference": "Observation/usqualitycore-simple-observation-4"
          },
          {
            "reference": "Task/usqualitycore-task"
          },
          {
            "reference": "Task/usqualitycore-taskrejected"
          },
          {
            "reference": "Task/usqualitycore-taskrejected-2"
          }
        ],
        "recorded": "2015-02-15T16:30:00Z",
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "author",
                  "display": "Author"
                }
              ]
            },
            "who": {
              "reference": "Practitioner/usqualitycore-practitioner"
            },
            "onBehalfOf": {
              "reference": "Organization/usqualitycore-organization"
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
                  "code": "transmitter",
                  "display": "Transmitter"
                }
              ]
            },
            "who": {
              "reference": "Organization/usqualitycore-organization"
            }
          }
        ],
        "entity": [
          {
            "role": "source",
            "what": {
              "reference": "DocumentReference/usqualitycore-document-reference"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-provenance</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AdverseEvent/usqualitycore-adverse-event"
      },
      "resource": {
        "resourceType": "AdverseEvent",
        "id": "usqualitycore-adverse-event",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-adverseevent"
          ]
        },
        "identifier": {
          "system": "https://github.com/inferno-framework/ids/patients/risks",
          "value": "49476534"
        },
        "actuality": "actual",
        "event": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "725119006",
              "display": "Generalized rash (disorder)"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/adverse-event-category",
                "code": "clinical-research",
                "display": "Clinical Research"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "detected": "2017-01-29T12:34:56+00:00",
        "recordedDate": "2017-01-29T12:34:56+00:00",
        "date": "2017-01-29T12:34:56+00:00",
        "resultingCondition": [
          {
            "reference": "Condition/usqualitycore-condition-problems-health-concerns"
          }
        ],
        "seriousness": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
              "code": "non-serious",
              "display": "Non-serious"
            }
          ]
        },
        "location": {
          "reference": "Location/usqualitycore-location"
        },
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "suspectEntity": [
          {
            "instance": {
              "reference": "Medication/usqualitycore-medication"
            },
            "causality": [
              {
                "assessment": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess",
                      "code": "possible",
                      "display": "Possible"
                    }
                  ]
                }
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-adverse-event</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "usqualitycore-allergy-intolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "identifier": [
          {
            "system": "https://github.com/inferno-framework/ids/patients/risks",
            "value": "49476534"
          }
        ],
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "note": [
          {
            "text": "The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."
          }
        ],
        "reaction": [
          {
            "substance": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "1160593",
                  "display": "cashew nut allergenic extract Injectable Product"
                }
              ]
            },
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39579001",
                    "display": "Anaphylactic reaction"
                  }
                ]
              }
            ],
            "description": "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered",
            "onset": "2012-06-12",
            "severity": "severe",
            "exposureRoute": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "34206005",
                  "display": "Subcutaneous route"
                }
              ]
            }
          },
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "122003",
                    "display": "Choroidal hemorrhage"
                  }
                ]
              }
            ],
            "onset": "2004",
            "severity": "moderate",
            "note": [
              {
                "text": "The patient reports that the onset of urticaria was within 15 minutes of eating cashews."
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup1"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "usqualitycore-allergy-intolerance-dup1",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup1</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup10"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup10",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup10</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup11"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup11",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup11</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup12"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup12",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup12</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup13"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup13",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup13</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup14"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup14",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup14</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup15"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup15",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup15</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup16"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup16",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup16</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup17"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup17",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup17</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup18"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup18",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup18</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup19"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup19",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup19</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup2"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "usqualitycore-allergy-intolerance-dup2",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup2</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup20"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup20",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup20</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup3"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "usqualitycore-allergy-intolerance-dup3",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup3</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup4"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup4",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup4</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup5"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup5",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup5</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup6"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup6",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup6</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup7"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup7",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup7</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup8"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup8",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup8</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup9"
      },
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "food"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "227493005",
              "display": "Cashew nuts"
            }
          ]
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2004",
        "recordedDate": "2014-10-09T14:58:00+11:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "asserter": {
          "reference": "Patient/usqualitycore-patient"
        },
        "lastOccurrence": "2012-06-02T01:45:31+00:00",
        "id": "usqualitycore-allergy-intolerance-dup9",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-allergy-intolerance-dup9</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "CarePlan/usqualitycore-care-plan"
      },
      "resource": {
        "resourceType": "CarePlan",
        "id": "usqualitycore-care-plan",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><p><b>instantiatesCanonical</b>: <code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule</code></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/careplan-category assess-plan}\">Assessment and Plan of Treatment</span></p><p><b>subject</b>: Eve Everywoman</p><p><b>period</b>: 2019-05-24 --&gt; 2020-02-24</p><p><b>careTeam</b>: <a href=\"CareTeam-example.html\">CareTeam: status = active</a></p><p><b>addresses</b>: pregnancy</p><p><b>goal</b>: pregnancy goal</p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01</p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>In Progress</td><td>Mabel Midwife</td><td>First antenatal care contact</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Scheduled</td><td>2019-07-26 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Second contact to occur at 20 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-09-06 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Third contact to occur at 26 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-10-04 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Fourth contact to occur at 30 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-11-01 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Fifth contact to occur at 34 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-11-15 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Sixth contact to occur at 36 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-11-29 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Seventh contact to occur at 38 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-12-13 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Eighth contact to occur at 40 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><span title=\"Codes:{http://snomed.info/sct 236973005}\">Delivery procedure</span></td><td>Not Started</td><td>2019-12-13 --&gt; 2019-12-27</td><td>Mabel Midwife</td><td>Delivery</td></tr></table></blockquote></div>"
        },
        "instantiatesCanonical": [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule"
        ],
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
                "code": "assess-plan",
                "display": "Assessment and Plan of Treatment"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "period": {
          "start": "2019-05-24",
          "end": "2020-02-24"
        },
        "careTeam": [
          {
            "reference": "CareTeam/usqualitycore-care-team"
          }
        ],
        "addresses": [
          {
            "display": "pregnancy"
          }
        ],
        "goal": [
          {
            "display": "pregnancy goal"
          }
        ],
        "activity": [
          {
            "outcomeReference": [
              {
                "display": "First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01"
              }
            ],
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "in-progress",
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "First antenatal care contact"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "scheduled",
              "scheduledPeriod": {
                "start": "2019-07-26"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Second contact to occur at 20 weeks of gestational age"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "not-started",
              "scheduledPeriod": {
                "start": "2019-09-06"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Third contact to occur at 26 weeks of gestational age"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "not-started",
              "scheduledPeriod": {
                "start": "2019-10-04"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Fourth contact to occur at 30 weeks of gestational age"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "not-started",
              "scheduledPeriod": {
                "start": "2019-11-01"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Fifth contact to occur at 34 weeks of gestational age"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "not-started",
              "scheduledPeriod": {
                "start": "2019-11-15"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Sixth contact to occur at 36 weeks of gestational age"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "not-started",
              "scheduledPeriod": {
                "start": "2019-11-29"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Seventh contact to occur at 38 weeks of gestational age"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "instantiatesCanonical": [
                "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "424525001",
                    "display": "Antenatal care (regime/therapy)"
                  }
                ],
                "text": "Antenatal care"
              },
              "status": "not-started",
              "scheduledPeriod": {
                "start": "2019-12-13"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Eighth contact to occur at 40 weeks of gestational age"
            }
          },
          {
            "detail": {
              "kind": "ServiceRequest",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "236973005",
                    "display": "Delivery procedure (procedure)"
                  }
                ],
                "text": "Delivery procedure"
              },
              "status": "not-started",
              "scheduledPeriod": {
                "start": "2019-12-13",
                "end": "2019-12-27"
              },
              "performer": [
                {
                  "display": "Mabel Midwife"
                }
              ],
              "description": "Delivery"
            }
          }
        ]
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "CareTeam/usqualitycore-care-team"
      },
      "resource": {
        "resourceType": "CareTeam",
        "id": "usqualitycore-care-team",
        "status": "active",
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Eve Everywoman"
        },
        "participant": [
          {
            "role": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
                    "code": "MDWF",
                    "display": "midwife"
                  }
                ]
              }
            ],
            "member": {
              "reference": "Practitioner/usqualitycore-practitioner"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-care-team</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Condition/usqualitycore-condition-encounter-diagnosis"
      },
      "resource": {
        "resourceType": "Condition",
        "id": "usqualitycore-condition-encounter-diagnosis",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Encounter Diagnosis Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This example of a US Quality Core Condition Encounter Diagnosis Profile illustrates its use to capture information about a patient's encounter diagnosis."
            }
          ],
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis"
          ]
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
            "valueDateTime": "2007-12-14"
          }
        ],
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "inactive",
              "display": "Inactive"
            }
          ],
          "text": "Inactive"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis"
              }
            ]
          }
        ],
        "severity": {
          "coding": [
            {
              "system": "http://www.snomed.org/",
              "code": "255604002",
              "display": "Mild"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "247824007",
              "display": "Fear of becoming fat"
            }
          ],
          "text": "Fear of becoming fat"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2007-12-14",
        "abatementDateTime": "2007-12-21",
        "recordedDate": "2007-12-14T07:15:07-08:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-condition-encounter-diagnosis</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Condition/usqualitycore-condition-problems-health-concerns"
      },
      "resource": {
        "resourceType": "Condition",
        "id": "usqualitycore-condition-problems-health-concerns",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Health Concern Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This example of a US Quality Core Condition Problems and Health Concerns Profile illustrates its use to capture information about a patient's health concern."
            }
          ],
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns"
          ]
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
            "valueDateTime": "2007-12-14"
          }
        ],
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "inactive",
              "display": "Inactive"
            }
          ],
          "text": "Inactive"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
                "code": "functional-status",
                "display": "Functional Status"
              }
            ],
            "text": "Functional Status"
          }
        ],
        "severity": {
          "coding": [
            {
              "system": "http://www.snomed.org/",
              "code": "255604002",
              "display": "Mild"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "247824007",
              "display": "Fear of becoming fat"
            }
          ],
          "text": "Fear of becoming fat"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "onsetDateTime": "2007-12-14",
        "abatementDateTime": "2007-12-21",
        "recordedDate": "2007-12-14T07:15:07-08:00",
        "recorder": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-condition-problems-health-concerns</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Coverage/usqualitycore-coverage"
      },
      "resource": {
        "resourceType": "Coverage",
        "id": "usqualitycore-coverage",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-coverage"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MB"
                }
              ]
            }
          }
        ],
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "https://nahdo.org/sopt",
              "code": "59",
              "display": "Other Private Insurance"
            }
          ]
        },
        "policyHolder": {
          "reference": "Patient/usqualitycore-patient"
        },
        "subscriber": {
          "reference": "Patient/usqualitycore-patient"
        },
        "subscriberId": "12191",
        "beneficiary": {
          "reference": "Patient/usqualitycore-patient"
        },
        "dependent": "0",
        "relationship": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code": "self"
            }
          ]
        },
        "period": {
          "start": "2011-05-23",
          "end": "2012-05-23"
        },
        "payor": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "class": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code": "group",
                  "display": "Group"
                }
              ]
            },
            "value": "Group",
            "name": "US Quality Core Test Coverage Group"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code": "plan",
                  "display": "Plan"
                }
              ]
            },
            "value": "Plan",
            "name": "US Quality Core Test Coverage Plan"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-coverage</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Device/usqualitycore-device"
      },
      "resource": {
        "resourceType": "Device",
        "id": "usqualitycore-device",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-device"
          ]
        },
        "identifier": [
          {
            "system": "http://goodcare.org/devices/id",
            "value": "345675"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SNO"
                }
              ],
              "text": "Serial Number"
            },
            "value": "AMID-342135-8464"
          }
        ],
        "udiCarrier": [
          {
            "deviceIdentifier": "09504000059118",
            "carrierHRF": "(01)09504000059118(17)141120(10)7654321D(21)10987654d321"
          }
        ],
        "status": "active",
        "manufacturer": "Acme Devices, Inc",
        "lotNumber": "43453424",
        "modelNumber": "AB 45-J",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "86184003",
              "display": "Electrocardiographic monitor and recorder"
            }
          ],
          "text": "ECG"
        },
        "patient": {
          "reference": "Patient/usqualitycore-patient"
        },
        "contact": [
          {
            "system": "phone",
            "value": "ext 4352"
          }
        ],
        "note": [
          {
            "authorReference": {
              "reference": "Practitioner/usqualitycore-practitioner"
            },
            "time": "2015-06-28T14:03:32+10:00",
            "text": "QA Checked"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-device</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "DeviceRequest/usqualitycore-devicenotrequested"
      },
      "resource": {
        "resourceType": "DeviceRequest",
        "id": "usqualitycore-devicenotrequested",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-devicenotrequested"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "410534003",
                  "display": "Not indicated (qualifier value)"
                }
              ]
            }
          }
        ],
        "modifierExtension": [
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform",
            "valueBoolean": true
          }
        ],
        "status": "completed",
        "intent": "original-order",
        "codeCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "86184003",
              "display": "Electrocardiographic monitor and recorder"
            }
          ],
          "text": "ECG"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "authoredOn": "2015-03-25T19:32:52-05:00",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-devicerequest</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "DeviceRequest/usqualitycore-devicerequest"
      },
      "resource": {
        "resourceType": "DeviceRequest",
        "id": "usqualitycore-devicerequest",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-devicerequest"
          ]
        },
        "modifierExtension": [
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform",
            "valueBoolean": false
          }
        ],
        "status": "completed",
        "intent": "original-order",
        "codeCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "86184003",
              "display": "Electrocardiographic monitor and recorder"
            }
          ],
          "text": "ECG"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "authoredOn": "2015-03-25T19:32:52-05:00",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-devicerequest</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "DiagnosticReport/usqualitycore-diagnostic-report-lab"
      },
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "usqualitycore-diagnostic-report-lab",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "LAB",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "58410-2",
              "display": "CBC panel - Blood by Automated count"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Peter Chalmers"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "2005-07-05",
        "issued": "2005-07-06T11:45:33+11:00",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "resultsInterpreter": [
          {
            "reference": "Practitioner/usqualitycore-practitioner"
          }
        ],
        "result": [
          {
            "reference": "Observation/usqualitycore-observation-lab"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-diagnostic-report-lab</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "DiagnosticReport/usqualitycore-diagnostic-report-note"
      },
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "usqualitycore-diagnostic-report-note",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-note"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "LP29684-5",
                "display": "Radiology"
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "RAD",
                "display": "Radiology"
              }
            ],
            "text": "Radiology"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "30746-2",
              "display": "Portable XR Chest Views"
            }
          ],
          "text": "Portable XR Chest Views"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "effectiveDateTime": "2005-07-05",
        "issued": "2005-07-06T11:45:33+11:00",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization"
          }
        ],
        "resultsInterpreter": [
          {
            "reference": "Practitioner/usqualitycore-practitioner"
          }
        ],
        "result": [
          {
            "reference": "Observation/usqualitycore-observation-lab"
          }
        ],
        "media": [
          {
            "link": {
              "reference": "Media/usqualitycore-r4-media"
            }
          }
        ],
        "presentedForm": [
          {
            "contentType": "application/xhtml",
            "data": "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"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-diagnostic-report-note</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Encounter/usqualitycore-encounter"
      },
      "resource": {
        "resourceType": "Encounter",
        "id": "usqualitycore-encounter",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter"
          ]
        },
        "identifier": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "value": "IMP"
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99223",
                "display": "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded."
              }
            ]
          }
        ],
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
              "code": "R",
              "display": "routine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "period": {
              "start": "2015-02-15T14:30:00+01:00",
              "end": "2015-02-15T16:30:00+01:00"
            },
            "individual": {
              "reference": "Practitioner/usqualitycore-practitioner"
            }
          }
        ],
        "period": {
          "start": "2015-02-15T14:30:00+01:00",
          "end": "2015-02-15T16:30:00+01:00"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "247824007",
                "display": "Fear of becoming fat"
              }
            ]
          }
        ],
        "reasonReference": [
          {
            "reference": "Condition/usqualitycore-condition-problems-health-concerns"
          }
        ],
        "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-encounter</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-family-member-history</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-goal</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-group</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-immunization</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-immunizationnotdone</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-immunizationnotdone-2</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-location</div>"
        }
      }
    },
    {
      "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://www.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": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "129472003",
                  "display": "Alemtuzumab (substance)"
                }
              ]
            },
            "strength": {
              "numerator": {
                "value": 12,
                "system": "http://unitsofmeasure.org",
                "code": "mg"
              },
              "denominator": {
                "value": 1.2,
                "system": "http://unitsofmeasure.org",
                "code": "mL"
              }
            }
          }
        ],
        "batch": {
          "lotNumber": "9494788",
          "expirationDate": "2017-05-22"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-medication</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "MedicationAdministration/usqualitycore-medicationadministration"
      },
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "usqualitycore-medicationadministration",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationadministration"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
            "valueDateTime": "2017-01-17"
          }
        ],
        "status": "completed",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1594660",
              "display": "alemtuzumab 10 MG/ML [Lemtrada]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Donald Duck"
        },
        "supportingInformation": [
          {
            "reference": "Condition/usqualitycore-condition-problems-health-concerns"
          }
        ],
        "effectivePeriod": {
          "start": "2015-01-15T14:30:00+01:00",
          "end": "2015-01-15T14:30:00+01:00"
        },
        "request": {
          "reference": "MedicationRequest/usqualitycore-medicationrequest"
        },
        "dosage": {
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "47625008",
                "display": "Intravenous route (qualifier value)"
              }
            ]
          },
          "dose": {
            "value": 3,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-medicationadministration</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "MedicationAdministration/usqualitycore-medicationadministrationnotdone"
      },
      "resource": {
        "resourceType": "MedicationAdministration",
        "id": "usqualitycore-medicationadministrationnotdone",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationadministrationnotdone"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
            "valueDateTime": "2017-01-17"
          }
        ],
        "status": "not-done",
        "statusReason": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "183966005",
                "display": "Drug treatment not indicated (situation)"
              }
            ]
          }
        ],
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1594660",
              "display": "alemtuzumab 10 MG/ML [Lemtrada]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Donald Duck"
        },
        "supportingInformation": [
          {
            "reference": "Condition/usqualitycore-condition-problems-health-concerns"
          }
        ],
        "effectivePeriod": {
          "start": "2015-01-15T14:30:00+01:00",
          "end": "2015-01-15T14:30:00+01:00"
        },
        "request": {
          "reference": "MedicationRequest/usqualitycore-medicationrequest"
        },
        "dosage": {
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "47625008",
                "display": "Intravenous route (qualifier value)"
              }
            ]
          },
          "dose": {
            "value": 3,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-medicationadministration</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "MedicationDispense/usqualitycore-medicationdispense"
      },
      "resource": {
        "resourceType": "MedicationDispense",
        "id": "usqualitycore-medicationdispense",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispense"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
            "valueDateTime": "2017-01-17"
          }
        ],
        "status": "completed",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1594660",
              "display": "alemtuzumab 10 MG/ML [Lemtrada]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "context": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "performer": [
          {
            "actor": {
              "reference": "Practitioner/usqualitycore-practitioner"
            }
          },
          {
            "actor": {
              "reference": "Organization/usqualitycore-organization"
            }
          }
        ],
        "authorizingPrescription": [
          {
            "reference": "MedicationRequest/usqualitycore-medicationrequest"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code": "DF",
              "display": "Daily Fill"
            }
          ]
        },
        "quantity": {
          "value": 100,
          "unit": "ml",
          "system": "http://unitsofmeasure.org",
          "code": "ml"
        },
        "daysSupply": {
          "value": 30,
          "unit": "Day",
          "system": "http://unitsofmeasure.org",
          "code": "d"
        },
        "whenPrepared": "2012-05-30T16:20:00+00:00",
        "whenHandedOver": "2012-05-31T10:20:00+00:00",
        "destination": {
          "reference": "Location/usqualitycore-location"
        },
        "receiver": [
          {
            "reference": "Patient/usqualitycore-patient"
          }
        ],
        "dosageInstruction": [
          {
            "text": "1 tablet 3 times daily",
            "timing": {
              "repeat": {
                "frequency": 3,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "394899003",
                  "display": "oral administration of treatment"
                }
              ]
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "ordered",
                      "display": "Ordered"
                    }
                  ]
                },
                "doseQuantity": {
                  "value": 5,
                  "unit": "ml",
                  "system": "http://unitsofmeasure.org",
                  "code": "ml"
                }
              }
            ]
          }
        ],
        "substitution": {
          "wasSubstituted": false,
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
                "code": "N",
                "display": "none"
              }
            ],
            "text": "No substitution occurred or is permitted."
          }
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-medicationdispense</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "MedicationDispense/usqualitycore-medicationdispensedeclined"
      },
      "resource": {
        "resourceType": "MedicationDispense",
        "id": "usqualitycore-medicationdispensedeclined",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
            "valueDateTime": "2017-01-17"
          }
        ],
        "status": "declined",
        "statusReasonCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "397745006",
              "display": "Medical contraindication"
            }
          ]
        },
        "medicationCodeableConcept": {
          "extension": [
            {
              "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet",
              "valueCanonical": "http://cts.nlm.nih.gov/fhir/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321"
            }
          ],
          "text": "Not Done Value Set: Ophthalmic Antihistamines"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "context": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "performer": [
          {
            "actor": {
              "reference": "Practitioner/usqualitycore-practitioner"
            }
          },
          {
            "actor": {
              "reference": "Organization/usqualitycore-organization"
            }
          }
        ],
        "authorizingPrescription": [
          {
            "reference": "MedicationRequest/usqualitycore-medicationrequest"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code": "DF",
              "display": "Daily Fill"
            }
          ]
        },
        "quantity": {
          "value": 100,
          "unit": "ml",
          "system": "http://unitsofmeasure.org",
          "code": "ml"
        },
        "daysSupply": {
          "value": 30,
          "unit": "Day",
          "system": "http://unitsofmeasure.org",
          "code": "d"
        },
        "whenPrepared": "2012-05-30T16:20:00+00:00",
        "whenHandedOver": "2012-05-31T10:20:00+00:00",
        "destination": {
          "reference": "Location/usqualitycore-location"
        },
        "receiver": [
          {
            "reference": "Patient/usqualitycore-patient"
          }
        ],
        "dosageInstruction": [
          {
            "text": "1 tablet 3 times daily",
            "timing": {
              "repeat": {
                "frequency": 3,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "394899003",
                  "display": "oral administration of treatment"
                }
              ]
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "ordered",
                      "display": "Ordered"
                    }
                  ]
                },
                "doseQuantity": {
                  "value": 5,
                  "unit": "ml",
                  "system": "http://unitsofmeasure.org",
                  "code": "ml"
                }
              }
            ]
          }
        ],
        "substitution": {
          "wasSubstituted": false,
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
                "code": "N",
                "display": "none"
              }
            ],
            "text": "No substitution occurred or is permitted."
          }
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-medicationdispense</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "MedicationRequest/usqualitycore-medicationnotrequested"
      },
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "usqualitycore-medicationnotrequested",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested"
          ]
        },
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ]
          }
        ],
        "doNotPerform": true,
        "medicationCodeableConcept": {
          "extension": [
            {
              "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet",
              "valueCanonical": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39"
            }
          ],
          "text": "Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis"
        },
        "reportedReference": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "authoredOn": "2015-03-25T19:32:52-05:00",
        "requester": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "151811000119109",
                "display": "Health condition feared but not present"
              }
            ]
          }
        ],
        "reasonReference": [
          {
            "reference": "Condition/usqualitycore-condition-problems-health-concerns"
          }
        ],
        "dosageInstruction": [
          {
            "text": "1 tablet 3 times daily",
            "timing": {
              "repeat": {
                "boundsPeriod": {
                  "start": "2014",
                  "end": "2015"
                },
                "frequency": 3,
                "frequencyMax": 3,
                "period": 1,
                "periodMax": 1,
                "periodUnit": "d"
              }
            },
            "asNeededBoolean": false,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "394899003",
                  "display": "oral administration of treatment"
                }
              ]
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 5,
                  "unit": "ml",
                  "system": "http://unitsofmeasure.org",
                  "code": "ml"
                }
              }
            ]
          }
        ],
        "dispenseRequest": {
          "numberOfRepeatsAllowed": 3,
          "quantity": {
            "value": 100,
            "unit": "ml",
            "system": "http://unitsofmeasure.org",
            "code": "ml"
          }
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-medicationrequest</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "MedicationRequest/usqualitycore-medicationrequest"
      },
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "usqualitycore-medicationrequest",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest"
          ]
        },
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ]
          }
        ],
        "doNotPerform": false,
        "reportedReference": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1594660",
              "display": "alemtuzumab 10 MG/ML [Lemtrada]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "reference": "Encounter/usqualitycore-encounter"
        },
        "authoredOn": "2015-03-25T19:32:52-05:00",
        "requester": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "151811000119109",
                "display": "Health condition feared but not present"
              }
            ]
          }
        ],
        "reasonReference": [
          {
            "reference": "Condition/usqualitycore-condition-problems-health-concerns"
          }
        ],
        "dosageInstruction": [
          {
            "text": "1 tablet 3 times daily",
            "timing": {
              "repeat": {
                "boundsPeriod": {
                  "start": "2014",
                  "end": "2015"
                },
                "frequency": 3,
                "frequencyMax": 3,
                "period": 1,
                "periodMax": 1,
                "periodUnit": "d"
              }
            },
            "asNeededBoolean": false,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "394899003",
                  "display": "oral administration of treatment"
                }
              ]
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 5,
                  "unit": "ml",
                  "system": "http://unitsofmeasure.org",
                  "code": "ml"
                }
              }
            ]
          }
        ],
        "dispenseRequest": {
          "validityPeriod": {
            "start": "2019-05-24",
            "end": "2020-02-24"
          },
          "numberOfRepeatsAllowed": 3,
          "quantity": {
            "value": 100,
            "unit": "ml",
            "system": "http://unitsofmeasure.org",
            "code": "ml"
          },
          "expectedSupplyDuration": {
            "value": 5,
            "unit": "days",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          }
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-medicationrequest</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-clinical-result"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-clinical-result",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Heart rate rhythm Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*."
            }
          ],
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "exam",
                "display": "Exam"
              }
            ],
            "text": "Exam"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8884-9",
              "display": "Heart rate rhythm"
            }
          ],
          "text": "Heart rate rhythm"
        },
        "valueString": "Regular (R)",
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "display": "Cardiology Consult"
        },
        "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00",
        "performer": [
          {
            "reference": "Practitioner/usqualitycore-practitioner",
            "display": "Practitioner"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "101692-2",
                  "display": "Maximum heart rate"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-clinical-result</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-clinical-result-2"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-clinical-result-2",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Heart rate rhythm Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*."
            }
          ],
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "exam",
                "display": "Exam"
              }
            ],
            "text": "Exam"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2339-0",
              "display": "Glucose Bld-mCnc"
            }
          ],
          "text": "Glucose Bld-mCnc"
        },
        "valueQuantity": {
          "value": 76,
          "unit": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "display": "Cardiology Consult"
        },
        "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00",
        "performer": [
          {
            "reference": "Practitioner/usqualitycore-practitioner",
            "display": "Practitioner"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "101692-2",
                  "display": "Maximum heart rate"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-clinical-result-2</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-clinical-result-3"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-clinical-result-3",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Heart rate rhythm Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*."
            }
          ],
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "exam",
                "display": "Exam"
              }
            ],
            "text": "Exam"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8884-9",
              "display": "Heart rate rhythm"
            }
          ],
          "text": "Heart rate rhythm"
        },
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ],
          "text": "Negative for Chlamydia Trachomatis rRNA"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "display": "Cardiology Consult"
        },
        "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00",
        "performer": [
          {
            "reference": "Practitioner/usqualitycore-practitioner",
            "display": "Practitioner"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "101692-2",
                  "display": "Maximum heart rate"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-clinical-result-3</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-clinical-result-4"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-clinical-result-4",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Heart rate rhythm Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*."
            }
          ],
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "exam",
                "display": "Exam"
              }
            ],
            "text": "Exam"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8884-9",
              "display": "Heart rate rhythm"
            }
          ],
          "text": "Heart rate rhythm"
        },
        "dataAbsentReason": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
              "code": "unknown",
              "display": "Unknown"
            }
          ],
          "text": "Unknown"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "encounter": {
          "display": "Cardiology Consult"
        },
        "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00",
        "performer": [
          {
            "reference": "Practitioner/usqualitycore-practitioner",
            "display": "Practitioner"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "101692-2",
                  "display": "Maximum heart rate"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-clinical-result-4</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-lab"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-lab",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Blood Glucose Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*."
            }
          ],
          "versionId": "1165",
          "lastUpdated": "2016-03-09T15:29:58.328+00:00",
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab"
          ]
        },
        "status": "final",
        "issued": "2013-04-03T15:30:10+01:00",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ],
            "text": "Laboratory"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2339-0",
              "display": "Glucose Bld-mCnc"
            }
          ],
          "text": "Glucose Bld-mCnc"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "valueQuantity": {
          "value": 76,
          "unit": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "specimen": {
          "reference": "Specimen/usqualitycore-specimen"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "high": {
              "value": 109,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code": "normal",
                  "display": "Normal Range"
                }
              ],
              "text": "Normal Range"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-lab</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-lab-2"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-lab-2",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Blood Glucose Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*."
            }
          ],
          "versionId": "1165",
          "lastUpdated": "2016-03-09T15:29:58.328+00:00",
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab"
          ]
        },
        "status": "final",
        "issued": "2013-04-03T15:30:10+01:00",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ],
            "text": "Laboratory"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2339-0",
              "display": "Glucose Bld-mCnc"
            }
          ],
          "text": "Glucose Bld-mCnc"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "valueString": "Test",
        "specimen": {
          "reference": "Specimen/usqualitycore-specimen"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "A",
                "display": "Abnormal"
              }
            ]
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "high": {
              "value": 109,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code": "normal",
                  "display": "Normal Range"
                }
              ],
              "text": "Normal Range"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-lab-2</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-lab-3"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-lab-3",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Blood Glucose Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*."
            }
          ],
          "versionId": "1165",
          "lastUpdated": "2016-03-09T15:29:58.328+00:00",
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab"
          ]
        },
        "status": "final",
        "issued": "2013-04-03T15:30:10+01:00",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ],
            "text": "Laboratory"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2339-0",
              "display": "Glucose Bld-mCnc"
            }
          ],
          "text": "Glucose Bld-mCnc"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ],
          "text": "Negative for Chlamydia Trachomatis rRNA"
        },
        "specimen": {
          "reference": "Specimen/usqualitycore-specimen"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "high": {
              "value": 109,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code": "normal",
                  "display": "Normal Range"
                }
              ],
              "text": "Normal Range"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-lab-3</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-lab-4"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-lab-4",
        "meta": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString": "Blood Glucose Example"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*."
            }
          ],
          "versionId": "1165",
          "lastUpdated": "2016-03-09T15:29:58.328+00:00",
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab"
          ]
        },
        "status": "final",
        "issued": "2013-04-03T15:30:10+01:00",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ],
            "text": "Laboratory"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2339-0",
              "display": "Glucose Bld-mCnc"
            }
          ],
          "text": "Glucose Bld-mCnc"
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "dataAbsentReason": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
              "code": "unknown",
              "display": "Unknown"
            }
          ],
          "text": "Unknown"
        },
        "specimen": {
          "reference": "Specimen/usqualitycore-specimen"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "high": {
              "value": 109,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code": "normal",
                  "display": "Normal Range"
                }
              ],
              "text": "Normal Range"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-lab-4</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-screening-assessment"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-screening-assessment",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ],
            "text": "Survey"
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              },
              {
                "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": "28139-4",
              "display": "Blood pressure alteration [CCC]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "101692-2",
                  "display": "Maximum heart rate"
                }
              ]
            }
          }
        ],
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "valueQuantity": {
          "value": 76,
          "unit": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "hasMember": [
          {
            "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-screening-assessment</div>"
        },
        "derivedFrom": [
          {
            "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response"
          }
        ]
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-screening-assessment-2"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-screening-assessment-2",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ],
            "text": "Survey"
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              },
              {
                "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": "28139-4",
              "display": "Blood pressure alteration [CCC]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "valueString": "Test",
        "hasMember": [
          {
            "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-screening-assessment-2</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-screening-assessment-3"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-screening-assessment-3",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ],
            "text": "Survey"
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              },
              {
                "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": "28139-4",
              "display": "Blood pressure alteration [CCC]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ],
          "text": "Negative for Chlamydia Trachomatis rRNA"
        },
        "hasMember": [
          {
            "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-screening-assessment-3</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observation-screening-assessment-4"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observation-screening-assessment-4",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ],
            "text": "Survey"
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              },
              {
                "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": "28139-4",
              "display": "Blood pressure alteration [CCC]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/usqualitycore-patient",
          "display": "Amy Shaw"
        },
        "effectiveDateTime": "2005-07-05",
        "performer": [
          {
            "reference": "Organization/usqualitycore-organization",
            "display": "Hendricks Country Hospital"
          }
        ],
        "dataAbsentReason": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
              "code": "unknown",
              "display": "Unknown"
            }
          ],
          "text": "Unknown"
        },
        "hasMember": [
          {
            "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-observation-screening-assessment-4</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Observation/usqualitycore-observationcancelled"
      },
      "resource": {
        "resourceType": "Observation",
        "id": "usqualitycore-observationcancelled",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observationcancelled"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneReason",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "410536001",
                  "display": "Contraindicated (qualifier value)"
                }
              ]
            }
          }
        ],
        "status": "cancelled",
        "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": "Practitioner/usqualitycore-practitioner",
            "display": "Practitioner"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "105503008",
              "display": "Dependence on wheelchair (finding)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-simple-observation</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Organization/usqualitycore-organization"
      },
      "resource": {
        "resourceType": "Organization",
        "id": "usqualitycore-organization",
        "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": "1000000004"
          },
          {
            "use": "temp",
            "system": "http://terminology.hl7.org/NamingSystem/CMSCertificationNumber",
            "value": "8635143786"
          },
          {
            "use": "temp",
            "system": "urn:oid:2.16.840.1.113883.4.4",
            "value": "8635143786"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "team",
                "display": "Organizational team"
              }
            ]
          }
        ],
        "name": "Health Level Seven International",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 734-677-7777"
          },
          {
            "system": "fax",
            "value": "(+1) 734-677-6622"
          },
          {
            "system": "email",
            "value": "hq@HL7.org"
          }
        ],
        "address": [
          {
            "line": [
              "3300 Washtenaw Avenue, Suite 227"
            ],
            "city": "Ann Arbor",
            "state": "MI",
            "postalCode": "48104",
            "country": "USA"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-organization</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Patient/usqualitycore-patient"
      },
      "resource": {
        "resourceType": "Patient",
        "id": "usqualitycore-patient",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient"
          ]
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "1002-5",
                  "display": "American Indian or Alaska Native"
                }
              },
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2028-9",
                  "display": "Asian"
                }
              },
              {
                "url": "detailed",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "1586-7",
                  "display": "Shoshone"
                }
              },
              {
                "url": "detailed",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2036-2",
                  "display": "Filipino"
                }
              },
              {
                "url": "text",
                "valueString": "Mixed"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race|6.1.0"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2135-2",
                  "display": "Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity|6.1.0"
          },
          {
            "extension": [
              {
                "url": "tribalAffiliation",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
                      "code": "187",
                      "display": "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"
                    }
                  ],
                  "text": "Shoshone"
                }
              },
              {
                "url": "isEnrolled",
                "valueBoolean": false
              }
            ],
            "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"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "446141000124107",
                  "display": "Identifies as female gender (finding)"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            },
            "system": "urn:oid:1.2.36.146.595.217.0.1",
            "value": "12345",
            "period": {
              "start": "2001-05-06"
            },
            "assigner": {
              "display": "Acme Healthcare"
            }
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Chalmers",
            "suffix": [
              "Jr"
            ],
            "given": [
              "Peter",
              "James"
            ]
          },
          {
            "use": "usual",
            "family": "Chalmers",
            "given": [
              "Jim"
            ]
          },
          {
            "use": "maiden",
            "family": "Windsor",
            "given": [
              "Peter",
              "James"
            ],
            "period": {
              "end": "2002"
            }
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "(03) 5555 6473",
            "use": "work",
            "rank": 1
          },
          {
            "system": "phone",
            "value": "(03) 3410 5613",
            "use": "mobile",
            "rank": 2
          },
          {
            "system": "phone",
            "value": "(03) 5555 8834",
            "use": "old",
            "period": {
              "end": "2014"
            }
          }
        ],
        "gender": "male",
        "birthDate": "1974-12-25",
        "_birthDate": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
              "valueDateTime": "1974-12-25T14:35:45-05:00"
            }
          ]
        },
        "deceasedBoolean": false,
        "address": [
          {
            "use": "home",
            "type": "both",
            "text": "534 Erewhon St PeasantVille, Utah 84414",
            "line": [
              "534 Erewhon St"
            ],
            "city": "PleasantVille",
            "district": "Rainbow",
            "state": "UT",
            "postalCode": "84414",
            "period": {
              "start": "1974-12-25"
            }
          }
        ],
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "es",
                  "display": "Spanish"
                }
              ]
            },
            "preferred": true
          }
        ],
        "contact": [
          {
            "relationship": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code": "N"
                  }
                ]
              }
            ],
            "name": {
              "family": "du Marché",
              "_family": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
                    "valueString": "VV"
                  }
                ]
              },
              "given": [
                "Bénédicte"
              ]
            },
            "telecom": [
              {
                "system": "phone",
                "value": "+33 (237) 998327"
              }
            ],
            "address": {
              "use": "home",
              "type": "both",
              "line": [
                "534 Erewhon St"
              ],
              "city": "PleasantVille",
              "district": "Rainbow",
              "state": "VT",
              "postalCode": "3999",
              "period": {
                "start": "1974-12-25"
              }
            },
            "gender": "female",
            "period": {
              "start": "2012"
            }
          }
        ],
        "managingOrganization": {
          "reference": "Organization/usqualitycore-organization"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-patient</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Practitioner/usqualitycore-practitioner"
      },
      "resource": {
        "resourceType": "Practitioner",
        "id": "usqualitycore-practitioner",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitioner"
          ]
        },
        "identifier": [
          {
            "use": "temp",
            "system": "urn:oid:2.16.840.1.113883.4.4",
            "value": "Practitioner-23"
          },
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9941339100"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Careful",
            "given": [
              "Adam"
            ],
            "prefix": [
              "Dr"
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "adam.careful@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "use": "home",
            "line": [
              "534 Erewhon St"
            ],
            "city": "PleasantVille",
            "state": "UT",
            "country": "USA",
            "postalCode": "84414"
          }
        ],
        "qualification": [
          {
            "identifier": [
              {
                "system": "http://mitre.org/UniversityIdentifier",
                "value": "12345"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0360|2.0.0",
                  "code": "BS",
                  "display": "Bachelor of Science"
                }
              ],
              "text": "Bachelor of Science"
            },
            "period": {
              "start": "1995"
            },
            "issuer": {
              "display": "Example University"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-practitioner</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "PractitionerRole/usqualitycore-practitioner-role"
      },
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "usqualitycore-practitioner-role",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitionerrole"
          ]
        },
        "identifier": [
          {
            "use": "temp",
            "system": "https://github.com/inferno-framework/practitionerroles",
            "value": "31"
          }
        ],
        "active": true,
        "period": {
          "start": "1995"
        },
        "practitioner": {
          "reference": "Practitioner/usqualitycore-practitioner",
          "display": "Dr Adam Careful"
        },
        "organization": {
          "reference": "Organization/usqualitycore-organization"
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "106289002",
                "display": "Dentist (occupation)"
              }
            ]
          }
        ],
        "specialty": [
          {
            "coding": [
              {
                "system": "http://nucc.org/provider-taxonomy",
                "code": "122300000X",
                "display": "Dentist"
              }
            ]
          }
        ],
        "location": [
          {
            "reference": "Location/usqualitycore-location"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "801-123-4567"
          }
        ],
        "endpoint": [
          {
            "reference": "Endpoint/usqualitycore-r4-endpoint"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-practitioner-role</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Procedure/usqualitycore-procedure"
      },
      "resource": {
        "resourceType": "Procedure",
        "id": "usqualitycore-procedure",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedure"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
            "valueDateTime": "2013-04-05T09:35:00-04:00"
          }
        ],
        "basedOn": [
          {
            "reference": "ServiceRequest/usqualitycore-servicerequest"
          }
        ],
        "partOf": [
          {
            "reference": "Observation/usqualitycore-observation-lab"
          }
        ],
        "status": "completed",
        "statusReason": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "MEDPREC",
              "display": "medical precaution"
            }
          ]
        },
        "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"
        },
        "performedDateTime": "2013-04-05T09:20:00-04:00",
        "performer": [
          {
            "actor": {
              "reference": "Practitioner/usqualitycore-practitioner",
              "display": "Dr Cecil Surgeon"
            }
          }
        ],
        "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"
              }
            ]
          }
        ],
        "report": [
          {
            "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-procedure</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Procedure/usqualitycore-procedurenotdone"
      },
      "resource": {
        "resourceType": "Procedure",
        "id": "usqualitycore-procedurenotdone",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedurenotdone"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
            "valueDateTime": "2013-04-05T09:35:00-04:00"
          }
        ],
        "basedOn": [
          {
            "reference": "ServiceRequest/usqualitycore-servicerequest"
          }
        ],
        "partOf": [
          {
            "reference": "Observation/usqualitycore-observation-lab"
          }
        ],
        "status": "not-done",
        "statusReason": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "183932001",
              "display": "Procedure contraindicated"
            }
          ]
        },
        "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"
        },
        "performedDateTime": "2013-04-05T09:20:00-04:00",
        "performer": [
          {
            "actor": {
              "reference": "Practitioner/usqualitycore-practitioner",
              "display": "Dr Cecil Surgeon"
            }
          }
        ],
        "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"
              }
            ]
          }
        ],
        "report": [
          {
            "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-procedure</div>"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "QuestionnaireResponse/usqualitycore-questionnaire-response"
      },
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "usqualitycore-questionnaire-response",
        "meta": {
          "profile": [
            "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-questionnaireresponse"
          ]
        },
        "questionnaire": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9",
        "status": "completed",
        "subject": {
          "reference": "Patient/usqualitycore-patient"
        },
        "authored": "2022-07-31T22:14:07.387Z",
        "author": {
          "reference": "Practitioner/usqualitycore-practitioner"
        },
        "item": [
          {
            "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?",
                "answer": [
                  {
                    "valueCoding": {
                      "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
                      "code": "Not-at-all",
                      "display": "Not at all"
                    }
                  }
                ]
              },
              {
                "linkId": "H1/T1/Q2",
                "text": "Feeling down, depressed, or hopeless?",
                "answer": [
                  {
                    "valueCoding": {
                      "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
                      "code": "Not-at-all",
                      "display": "Not at all"
                    }
                  }
                ]
              },
              {
                "linkId": "H1/T1/Q3",
                "text": "Trouble falling or staying asleep, or sleeping too much?",
                "answer": [
                  {
                    "valueCoding": {
                      "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
                      "code": "Not-at-all",
                      "display": "Not at all"
                    }
                  }
                ]
              },
              {
                "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-questionnaire-response</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-related-person</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-servicerequest</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-servicerequest</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-simple-observation</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-simple-observation-2</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-simple-observation-3</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: usqualitycore-simple-observation-4</div>"
        }
      }
    },
    {
      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </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-us-quality-core-task.html\">US Quality Core Task</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/tasks</code>/19009</p><p><b>status</b>: Draft</p><p><b>intent</b>: proposal</p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:\">Medication Reconciliation</span></p><p><b>for</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>executionPeriod</b>: 2018-06-11 --&gt; 2018-06-11</p></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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </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-us-quality-core-task.html\">US Quality Core Task</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/tasks</code>/19009</p><p><b>status</b>: Draft</p><p><b>intent</b>: proposal</p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:\">Medication Reconciliation</span></p><p><b>for</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>executionPeriod</b>: 2018-06-11 --&gt; 2018-06-11</p></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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </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-us-quality-core-task.html\">US Quality Core Task</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/tasks</code>/19009</p><p><b>status</b>: Draft</p><p><b>intent</b>: proposal</p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:\">Medication Reconciliation</span></p><p><b>for</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>executionPeriod</b>: 2018-06-11 --> 2018-06-11</p></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"
        }
      }
    }
  ]
}