From 58d7a811296b83848f39aca7fb2061a04db739f3 Mon Sep 17 00:00:00 2001
From: Richard Stanley <2528387+citizenrich@users.noreply.github.com>
Date: Fri, 7 Jul 2023 16:01:20 -0400
Subject: [PATCH] add debug cql file

---
 input/cql/Debug.cql                           | 346 +++++++++++++
 input/fsh/library.fsh                         |  17 +
 input/fsh/measure.fsh                         |  16 +
 .../Bundle-Example-HIVSimple.json             | 459 ++++++++++++++++++
 .../Bundle-Example-HIVSimple2.json            | 356 ++++++++++++++
 .../Debug/PatientCIEL/Bundle-ExampleCIEL.json | 126 +++++
 .../PatientOMRS0/Bundle-ExampleOMRS0.json     | 185 +++++++
 .../Bundle-Example0.json                      | 328 +++++++++++++
 8 files changed, 1833 insertions(+)
 create mode 100644 input/cql/Debug.cql
 create mode 100644 input/tests/Debug/Patient-HIVSimple/Bundle-Example-HIVSimple.json
 create mode 100644 input/tests/Debug/Patient-HIVSimple2/Bundle-Example-HIVSimple2.json
 create mode 100644 input/tests/Debug/PatientCIEL/Bundle-ExampleCIEL.json
 create mode 100644 input/tests/Debug/PatientOMRS0/Bundle-ExampleOMRS0.json
 create mode 100644 input/tests/Debug/example-openmrs-Patient/Bundle-Example0.json

diff --git a/input/cql/Debug.cql b/input/cql/Debug.cql
new file mode 100644
index 000000000..74d668289
--- /dev/null
+++ b/input/cql/Debug.cql
@@ -0,0 +1,346 @@
+library Debug version '0.1.0'
+
+using FHIR version '4.0.1'
+
+include FHIRHelpers version '4.0.1'
+include FHIRCommon version '4.0.1' called FC
+include MERConcepts called Cx
+
+// parameter "Measurement Period" Interval<DateTime>
+parameter "Measurement Period" Interval<DateTime> default Interval[@1990-01-01T, @2022-12-31T]
+
+context Patient
+
+
+define "Deceased":
+  Patient.deceased is not null 
+  and (Patient.deceased is true or Patient.deceased before end of "Measurement Period")
+  // and Patient.deceased.value.not()
+  // and Patient.deceased.not()
+  // // alternatively
+  // where P.deceased is false
+  //   or P.deceased before Today()
+
+
+// synthea
+// define "HIV Condition":
+//   exists ["Condition": Cx."HIV Condition Positive"]
+//   // synthea
+//   or exists [Observation: Cx."Acquired immune deficiency syndrome (disorder)"]
+//   or exists [Encounter] E
+//     // where E.reasonCode in Cx."Acquired immune deficiency syndrome (disorder)"
+//     where (Last(E.reasonCode) ~ Cx."Acquired immune deficiency syndrome (disorder)")
+
+
+// define "Is HIV Positive":
+//   "HIV Condition"
+
+
+// define "Is HIV Negative":
+//   not "HIV Condition"
+
+
+// define "HIV Test Results":
+//   case
+//     when "Is HIV Positive" then "HIV Positive Observation"
+//     when "Is HIV Negative" then "HIV Negative Observation"
+//     else null
+//   end
+
+
+define "Pregnant":
+  exists ["Condition": Cx."Pregnancy (finding)"]
+
+
+// define "HIV Test Exists":
+//   exists ([Observation: Cx."HIV 1 and 2 tests - Meaningful Use set"])
+
+
+// define "HIV Positive Observation":
+//   [Observation: Cx."HIV 1 and 2 tests - Meaningful Use set"] Observation
+//     where Observation.value = "Is HIV Positive"
+
+
+// define "HIV Negative Observation":
+//   [Observation: Cx."HIV 1 and 2 tests - Meaningful Use set"] Observation
+//     where Observation.value = "Is HIV Negative"
+
+// this union is a placeholder for implementer or dak valuesets
+// define "Viral Load Test Result":
+//   ["Observation": Cx."HIV 1 RNA NAA+probe (Specimen)"] Obs
+//   union ["Observation": Cx."HIV 1 RNA [#/volume] (viral load) in Serum or Plasma by NAA with probe detection"] Obs
+//     // where Obs.status = 'final'
+//     // and Obs.value is not null
+//   // synthea
+//     // when Obs.effective during "Measurement Period"
+
+
+// define "Living with HIV and on ART with suppressed viral load results (<1000 copies/mL)":
+//   "Viral Load Test Result" Observation
+//     where Observation.value < 1000 '{copies}/mL'
+
+
+// define "Living with HIV and on ART with unsuppressed viral load results (>1000 copies/mL)":
+//   "Viral Load Test Result" Observation
+//     where Observation.value >= 1000 '{copies}/mL'
+
+
+// define "Suppressed":
+//   "Viral Load Test Result" Observation
+//     where Observation.value < 1000 '{copies}/mL'
+
+
+// define "Unsuppressed":
+//   "Viral Load Test Result" Observation
+//     where Observation.value >= 1000 '{copies}/mL'
+
+
+define "Contact date":
+  [Encounter] E
+    return E.period.start
+
+
+// define "HIV Positive but no VL test":
+//   "Is HIV Positive" = true
+
+
+
+// Rest of HIVIndicators
+
+define "on ART PLIR":
+  ["Observation": Cx."Currently taking ARV"] o
+      where o.value.coding[0]= Cx."Coded Answer"
+      or o.value.coding[1]= Cx."Coded Answer"
+      or o.value.coding[2]= Cx."Coded Answer"
+      // and o.status in {'final', 'amended', 'corrected'}
+      // and o.effective in day of "Measurement Period"
+
+
+define "on ART PLIR debug one":
+  ["Observation": Cx."Currently taking ARV"] o
+    with ["Encounter"] E
+    such that E.period during "Measurement Period"
+      // and o.status in {'final', 'amended', 'corrected'}
+
+
+define "on ART PLIR debug two":
+  ["Observation": Cx."Currently taking ARV"] o
+    with [Encounter] E 
+    such that E.period during "Measurement Period"
+
+
+define "on ART PLIR debug three":
+    ( ["Observation": Cx."Currently taking ARV"] ) o
+        where o.value.coding[0]= Cx."Coded Answer"
+        or o.value.coding[1]= Cx."Coded Answer"
+        or o.value.coding[2]= Cx."Coded Answer"
+
+
+define "ART Therapy Observation":
+  ["Observation": Cx."History of antiretroviral therapy (situation)"] O
+    where O.status = 'final'
+
+// to review
+// ART Therapy Observation=[]
+// ART Therapy Condition=[]
+
+define "ART Therapy Condition":
+  ["Condition": Cx."History of antiretroviral therapy (situation)"] C
+    where C.verificationStatus ~ FC."confirmed"
+      and C.clinicalStatus ~ FC."active"
+
+
+// define "ART Therapy Medication":
+//   ["MedicationDispense": Cx."ART Medications"] M
+//     where M.status = 'completed'
+
+// synthea
+define "ART Therapy Medication":
+  ["MedicationRequest": Cx."ART Medications"] M
+    // where M.status = 'active'
+    where M.authoredOn during "Measurement Period"
+
+
+
+define "ART Dates":
+  ("ART Therapy Observation" O return O.effective as dateTime)
+    union ("ART Therapy Condition" C return C.onset as dateTime)
+    union ("ART Therapy Medication" M return M.authoredOn)
+    // union ("ART Therapy Medication" M return M)
+
+
+
+define "Date of First Evidence of ART":
+  Min("ART Dates")
+
+
+// define "PMTCT ART Status":
+//   case
+//     when "Date of First Evidence of ART" before start of "Measurement Period" then Cx."Currently taking ARV"
+//     when "Date of First Evidence of ART" during "Measurement Period" then Cx."New on ART"
+//     else null
+//   end
+
+
+define "On ART":
+  exists ("ART Dates" D where D during "Measurement Period")
+    or exists (
+      "ART Therapy Condition" C
+        where Interval[C.onset, C.abatement] overlaps "Measurement Period"
+    )
+
+
+// define "HIV Test Observation":
+//   [Observation: Cx."HIV 1 and 2 tests - Meaningful Use set"] O
+//     // where O.status = 'final'
+//     //   and O.value is not null
+
+
+// define "Date of First Evidence of HIV Status":
+//   Min("HIV Test Observation" O return O.effective)
+
+
+// define "Date of First Evidence of HIV Positive":
+//   Min("HIV Positive Observation" O return O.effective)
+
+
+// define "Date of First Evidence of HIV Negative":
+//   Min("HIV Negative Observation" O return O.effective)
+
+
+// define "PMTCT HIV Status":
+//   case
+//     when "Date of First Evidence of HIV Positive" before start of "Measurement Period" then 'Known Positive'
+//     when "Date of First Evidence of HIV Positive" during "Measurement Period" then 'Newly Identified Positive'
+//     when "Date of First Evidence of HIV Negative" during "Measurement Period" then 'Newly Identified Negative'
+//     else null
+//   end
+
+
+define "Newly enrolled on antiretroviral therapy (ART) during measurement period":
+  "Date of First Evidence of ART" during "Measurement Period"
+
+
+define "Is Pregnant":
+  exists ([Condition: Cx."Pregnancy status - Reported"] C
+    where C.verificationStatus ~ FC."confirmed"
+      and C.clinicalStatus ~ FC."active"
+      and C.onset during "Measurement Period"
+  )
+
+
+// define "Is Breastfeeding":
+//   exists ([Observation: Cx."Postpartum state (finding)"] O
+//     where O.status = 'final'
+//       and O.effective during "Measurement Period"
+//   )
+
+
+define "Newly enrolled on antiretroviral therapy (ART) during measurement period (pregnant and breastfeeding)":
+  // "Is Pregnant" and "Is Breastfeeding" and "Date of First Evidence of ART" during "Measurement Period"
+  "Is Pregnant" and "Date of First Evidence of ART" during "Measurement Period"
+
+
+define "Receiving antiretroviral therapy (ART) during measurement period":
+  exists ("ART Dates" D where D during "Measurement Period")
+    or exists (
+      "ART Therapy Condition" C
+        where Interval[C.onset, C.abatement] overlaps "Measurement Period"
+    )
+
+
+define "Year Preceding the Measurement Period":
+  Interval[start of "Measurement Period" - 1 year, start of "Measurement Period")
+
+
+define "Month Before the Year Preceding the Measurement Period":
+  Interval[start of "Year Preceding the Measurement Period" - 1 month, start of "Year Preceding the Measurement Period")
+
+
+define "Receiving antiretroviral therapy (ART) at 12 months after initiating":
+  "Date of First Evidence of ART" during "Month Before the Year Preceding the Measurement Period"
+    and "Receiving antiretroviral therapy (ART) during measurement period"
+
+
+define "Receiving antiretroviral therapy (ART) at 12 months after initiating (pregnant and breastfeeding)":
+  "Receiving antiretroviral therapy (ART) at 12 months after initiating"
+    and "Is Pregnant"
+    // and "Is Breastfeeding"
+
+
+define "Initiated antiretroviral therapy (ART) in the 12 months prior to measurement period":
+  "Date of First Evidence of ART" during "Year Preceding the Measurement Period"
+
+
+// define "Antenatal Care Visit":
+//   // [Encounter: Cx."Prenatal initial visit (regime/therapy)"] E
+//   [Encounter: Cx."Prenatal initial visit (regime/therapy)"] E
+//     where E.status = 'finished'
+//       and E.period during Interval[start of "Year Preceding the Measurement Period", end of "Measurement Period"]
+
+
+// define "Live Birth Procedure":
+//   [Procedure: Cx."Livebirth (finding)"] P
+//     where P.status = 'completed'
+
+
+// define "Antenatal Care Visit or Live Birth during the Measurement Period":
+//   ("Is Pregnant" and exists ("Antenatal Care Visit" V where V.period during "Measurement Period"))
+//     or exists ("Live Birth Procedure" P where P.performed during "Measurement Period")
+
+
+// define "Antenatal Care Visit or Live Birth during Measurement Period (HIV Positive)":
+//   "Is HIV Positive"
+//     and "Antenatal Care Visit or Live Birth during the Measurement Period"
+
+
+// define "HIV-positive, pregnant, and receiving antiretroviral therapy (ART) to reduce the risk of mother-to-child-transmission during pregnancy":
+//   "Is HIV Positive"
+//     and "Is Pregnant"
+//     and "Receiving antiretroviral therapy (ART) during measurement period"
+
+
+define "Pregnant and receiving antiretroviral therapy (ART) to reduce the risk of mother-to-child-transmission during pregnancy":
+    "Is Pregnant"
+      and "Receiving antiretroviral therapy (ART) during measurement period"
+
+// define "Viral Load Test Result":
+//   ["Observation": Cx."Viral Load Test"] O
+//     where O.status = 'final'
+//       and O.value is not null
+
+
+// define "Living with HIV and on ART with suppressed viral load results (<1000 copies/mL)":
+//   "Is HIV Positive"
+//     and Cx."Receiving antiretroviral therapy (ART) during measurement period"
+//     and exists (
+//       Cx."Viral Load Test Result" R
+//         where R.effective during "Measurement Period"
+//           and R.value < 1000 '{copies}/mL'
+//       )
+
+
+// define "Received HIV Testing Services (HTS) and Received Test Results":
+//   ["Observation": Cx."HIV Testing Services"] O
+//     where O.status = 'final'
+//       and O.value is not null
+
+
+// define "First antenatal care visit":
+//   First("Antenatal Care Visit" V sort by start of period)
+
+
+// define "Date of First Evidence of HIV Status":
+//   Min("HIV Test Observation" O return O.effective)
+
+
+// define "HIV Status Known at First Antenatal Care Visit":
+//   "Date of First Evidence of HIV Status" on or before start of "First antenatal care visit".period
+
+
+// define "Receiving antiretroviral therapty (ART) and Viral Load Measurement in the past 12 months":
+//   "Receiving antiretroviral therapy (ART) during measurement period"
+//     and exists (
+//       "Viral Load Test Result" R
+//         where R.effective during "Year Preceding the Measurement Period"
+//     )
\ No newline at end of file
diff --git a/input/fsh/library.fsh b/input/fsh/library.fsh
index 963dc521b..5d168574e 100644
--- a/input/fsh/library.fsh
+++ b/input/fsh/library.fsh
@@ -37,6 +37,23 @@ Description: "FHIRHelpers"
 * content.id = "ig-loader-FHIRHelpers.cql"
 
 
+// -----------------------------
+
+
+Instance: Debug
+InstanceOf: Library
+Title: "Debug"
+Description: "Debug"
+* insert lib-common
+* name = "Debug"
+* title = "Debug"
+* description = "Debug"
+* version = "0.1.0"
+* url = "https://path-global-health.github.io/MERindicators/Library/Debug"
+// * identifier.value = "Debug"
+* content.id = "ig-loader-Debug.cql"
+
+
 Instance: MERConcepts
 InstanceOf: Library
 Title: "MERConcepts"
diff --git a/input/fsh/measure.fsh b/input/fsh/measure.fsh
index 044fce529..1256fbe84 100644
--- a/input/fsh/measure.fsh
+++ b/input/fsh/measure.fsh
@@ -93,3 +93,19 @@ Description: "MERTXCURR"
 * insert common-numonly
 
 
+Instance: MERDebug
+InstanceOf: Measure
+Title: "MERDebug"
+Description: "MERDebug"
+* id = "MERDebug"
+* insert meas-common
+* name = "MERDebug"
+* title = "MERDebug"
+* description = "MERDebug"
+* url = "https://path-global-health.github.io/MERindicators/Measure/MERDebug"
+* identifier[0].value = "MERDebug"
+// only numerator
+* scoring = $measure-scoring#cohort
+* library[+] = Canonical(Debug)
+* insert common-numonly
+
diff --git a/input/tests/Debug/Patient-HIVSimple/Bundle-Example-HIVSimple.json b/input/tests/Debug/Patient-HIVSimple/Bundle-Example-HIVSimple.json
new file mode 100644
index 000000000..c5fdd77e1
--- /dev/null
+++ b/input/tests/Debug/Patient-HIVSimple/Bundle-Example-HIVSimple.json
@@ -0,0 +1,459 @@
+{
+  "resourceType": "Bundle",
+  "id": "Example-HIVSimple",
+  "type": "transaction",
+  "entry": [
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Patient/Patient-HIVSimple",
+      "request": {
+        "url": "Patient",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Patient",
+        "id": "Patient-HIVSimple",
+        "name": [
+          {
+            "given": [
+              "Mittens"
+            ],
+            "family": "Cat",
+            "text": "Mittens Cat"
+          }
+        ],
+        "gender": "female",
+        "birthDate": "1985-01-01"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Organization/Organization-HIVSimple1",
+      "request": {
+        "url": "Organization",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Organization",
+        "id": "Organization-HIVSimple1",
+        "name": "Organization-HIVSimple Government Hospital",
+        "identifier": [
+          {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple1"
+          }
+        ]
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Location/Location-HIVSimple1",
+      "request": {
+        "url": "Location",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Location",
+        "id": "Location-HIVSimple1",
+        "identifier": [
+          {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Location-HIVSimple1"
+          }
+        ],
+        "managingOrganization": {
+          "identifier": {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple1"
+          }
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Condition/Condition-HIVSimple",
+      "request": {
+        "url": "Condition",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Condition",
+        "id": "Condition-HIVSimple",
+        "clinicalStatus": {
+          "coding": [
+            {
+              "code": "active",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
+            }
+          ]
+        },
+        "verificationStatus": {
+          "coding": [
+            {
+              "code": "confirmed",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "86406008",
+              "system": "http://snomed.info/sct",
+              "display": "HIV - Human immunodeficiency virus infection"
+            }
+          ]
+        },
+        "onsetDateTime": "2010-01-01"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Condition/Condition-Pregnancy",
+      "request": {
+        "url": "Condition",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Condition",
+        "id": "Condition-Pregnancy",
+        "clinicalStatus": {
+          "coding": [
+            {
+              "code": "inactive",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
+            }
+          ]
+        },
+        "verificationStatus": {
+          "coding": [
+            {
+              "code": "confirmed",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "77386006",
+              "system": "http://snomed.info/sct",
+              "display": "Pregnancy (finding)"
+            }
+          ]
+        },
+        "onsetDateTime": "2020-01-01",
+        "abatementDateTime": "2020-09-30"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Encounter/Encounter-HIVSimple",
+      "request": {
+        "url": "Encounter",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Encounter",
+        "id": "Encounter-HIVSimple",
+        "status": "finished",
+        "class": {
+          "code": "ACUTE",
+          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "serviceProvider": {
+          "identifier": {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple1"
+          }
+        },
+        "location": [
+          {
+            "location": {
+              "reference": "Location/Location-HIVSimple1"
+            }
+          }
+        ],
+        "period": {
+          "start": "2011-01-01",
+          "end": "2011-01-01"
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/DiagnosticReport/DiagnosticReport-HIVSimple",
+      "request": {
+        "url": "DiagnosticReport",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "DiagnosticReport",
+        "id": "DiagnosticReport-HIVSimple",
+        "status": "final",
+        "encounter": {
+          "reference": "Encounter/Encounter-HIVSimple"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "result": [
+          {
+            "reference": "Observation/Observation-HIVSimple"
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "code": "75622-1",
+              "system": "http://loinc.org",
+              "display": "HIV 1 and 2 tests - Meaningful Use set"
+            }
+          ]
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/Observation-HIVSimple",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "Observation-HIVSimple",
+        "status": "final",
+        "encounter": {
+          "reference": "Encounter/Encounter-HIVSimple"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "75622-1",
+              "system": "http://loinc.org",
+              "display": "HIV 1 and 2 tests - Meaningful Use set"
+            }
+          ]
+        },
+        "valueCodeableConcept": {
+          "coding": [
+            {
+              "code": "165816005",
+              "system": "http://snomed.info/sct",
+              "display": "HIV Positive"
+            }
+          ]
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Encounter/Encounter-ViralLoad",
+      "request": {
+        "url": "Encounter",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Encounter",
+        "id": "Encounter-ViralLoad",
+        "status": "finished",
+        "class": {
+          "code": "ACUTE",
+          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "serviceProvider": {
+          "identifier": {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple1"
+          }
+        },
+        "location": [
+          {
+            "location": {
+              "reference": "Location/Location-HIVSimple1"
+            }
+          }
+        ],
+        "period": {
+          "start": "2020-06-01",
+          "end": "2020-06-01"
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/DiagnosticReport/DiagnosticReport-ViralLoad",
+      "request": {
+        "url": "DiagnosticReport",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "DiagnosticReport",
+        "id": "DiagnosticReport-ViralLoad",
+        "status": "final",
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "encounter": {
+          "reference": "Encounter/Encounter-ViralLoad"
+        },
+        "result": [
+          {
+            "reference": "Observation/Observation-ViralLoad"
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "code": "25836-8",
+              "system": "http://loinc.org",
+              "display": "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
+            }
+          ]
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/Observation-ViralLoad",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "Observation-ViralLoad",
+        "status": "final",
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "encounter": {
+          "reference": "Encounter/Encounter-ViralLoad"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "25836-8",
+              "system": "http://loinc.org",
+              "display": "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
+            }
+          ]
+        },
+        "valueQuantity": {
+          "value": 741660,
+          "unit": "copies/mL",
+          "system": "http://unitsofmeasure.org",
+          "code": "{copies}/mL"
+        },
+        "issued": "2020-06-01T13:28:17.239+02:00"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Encounter/Encounter2-ViralLoad",
+      "request": {
+        "url": "Encounter",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Encounter",
+        "id": "Encounter2-ViralLoad",
+        "status": "finished",
+        "class": {
+          "code": "ACUTE",
+          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "serviceProvider": {
+          "identifier": {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple1"
+          }
+        },
+        "location": [
+          {
+            "location": {
+              "reference": "Location/Location-HIVSimple1"
+            }
+          }
+        ],
+        "period": {
+          "start": "2020-06-01",
+          "end": "2020-06-01"
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/DiagnosticReport/DiagnosticReport2-ViralLoad",
+      "request": {
+        "url": "DiagnosticReport",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "DiagnosticReport",
+        "id": "DiagnosticReport2-ViralLoad",
+        "status": "final",
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "encounter": {
+          "reference": "Encounter/Encounter2-ViralLoad"
+        },
+        "result": [
+          {
+            "reference": "Observation/Observation2-ViralLoad"
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "code": "25836-8",
+              "system": "http://loinc.org",
+              "display": "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
+            }
+          ]
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/Observation2-ViralLoad",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "Observation2-ViralLoad",
+        "status": "final",
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple"
+        },
+        "encounter": {
+          "reference": "Encounter/Encounter2-ViralLoad"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "25836-8",
+              "system": "http://loinc.org",
+              "display": "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
+            }
+          ]
+        },
+        "valueQuantity": {
+          "value": 800,
+          "unit": "copies/mL",
+          "system": "http://unitsofmeasure.org",
+          "code": "{copies}/mL"
+        },
+        "issued": "2020-09-01T13:28:17.239+02:00"
+      }
+    }
+  ]
+}
diff --git a/input/tests/Debug/Patient-HIVSimple2/Bundle-Example-HIVSimple2.json b/input/tests/Debug/Patient-HIVSimple2/Bundle-Example-HIVSimple2.json
new file mode 100644
index 000000000..dc1d1cb78
--- /dev/null
+++ b/input/tests/Debug/Patient-HIVSimple2/Bundle-Example-HIVSimple2.json
@@ -0,0 +1,356 @@
+{
+  "resourceType": "Bundle",
+  "id": "Example-HIVSimple2",
+  "type": "transaction",
+  "entry": [
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Patient/Patient-HIVSimple2",
+      "request": {
+        "url": "Patient",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Patient",
+        "id": "Patient-HIVSimple2",
+        "name": [
+          {
+            "given": [
+              "Mittens"
+            ],
+            "family": "Cat",
+            "text": "Mittens Cat"
+          }
+        ],
+        "gender": "female",
+        "birthDate": "1985-01-01"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Organization/Organization-HIVSimple2",
+      "request": {
+        "url": "Organization",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Organization",
+        "id": "Organization-HIVSimple2",
+        "name": "Organization-HIVSimple2 Government Hospital",
+        "identifier": [
+          {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple2"
+          }
+        ]
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Location/Location-HIVSimple2",
+      "request": {
+        "url": "Location",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Location",
+        "id": "Location-HIVSimple2",
+        "identifier": [
+          {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Location-HIVSimple2"
+          }
+        ],
+        "managingOrganization": {
+          "identifier": {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple2"
+          }
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Condition/Condition-HIVSimple2",
+      "request": {
+        "url": "Condition",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Condition",
+        "id": "Condition-HIVSimple2",
+        "clinicalStatus": {
+          "coding": [
+            {
+              "code": "active",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
+            }
+          ]
+        },
+        "verificationStatus": {
+          "coding": [
+            {
+              "code": "confirmed",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "86406008",
+              "system": "http://snomed.info/sct",
+              "display": "HIV - Human immunodeficiency virus infection"
+            }
+          ]
+        },
+        "onsetDateTime": "2010-01-01"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Condition/Condition-Pregnancy2",
+      "request": {
+        "url": "Condition",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Condition",
+        "id": "Condition-Pregnancy2",
+        "clinicalStatus": {
+          "coding": [
+            {
+              "code": "inactive",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
+            }
+          ]
+        },
+        "verificationStatus": {
+          "coding": [
+            {
+              "code": "confirmed",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "77386006",
+              "system": "http://snomed.info/sct",
+              "display": "Pregnancy (finding)"
+            }
+          ]
+        },
+        "onsetDateTime": "2020-01-01",
+        "abatementDateTime": "2020-09-30"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Encounter/Encounter-HIVSimple2",
+      "request": {
+        "url": "Encounter",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Encounter",
+        "id": "Encounter-HIVSimple2",
+        "status": "finished",
+        "class": {
+          "code": "ACUTE",
+          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "serviceProvider": {
+          "identifier": {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple2"
+          }
+        },
+        "location": [
+          {
+            "location": {
+              "reference": "Location/Location-HIVSimple2"
+            }
+          }
+        ],
+        "period": {
+          "start": "2011-01-01",
+          "end": "2011-01-01"
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/DiagnosticReport/DiagnosticReport-HIVSimple2",
+      "request": {
+        "url": "DiagnosticReport",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "DiagnosticReport",
+        "id": "DiagnosticReport-HIVSimple2",
+        "status": "final",
+        "encounter": {
+          "reference": "Encounter/Encounter-HIVSimple2"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "result": [
+          {
+            "reference": "Observation/Observation-HIVSimple2"
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "code": "75622-1",
+              "system": "http://loinc.org",
+              "display": "HIV 1 and 2 tests - Meaningful Use set"
+            }
+          ]
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/Observation-HIVSimple2",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "Observation-HIVSimple2",
+        "status": "final",
+        "encounter": {
+          "reference": "Encounter/Encounter-HIVSimple2"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "75622-1",
+              "system": "http://loinc.org",
+              "display": "HIV 1 and 2 tests - Meaningful Use set"
+            }
+          ]
+        },
+        "valueCodeableConcept": {
+          "coding": [
+            {
+              "code": "165816005",
+              "system": "http://snomed.info/sct",
+              "display": "HIV Positive"
+            }
+          ]
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Encounter/Encounter-ViralLoad2",
+      "request": {
+        "url": "Encounter",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Encounter",
+        "id": "Encounter-ViralLoad2",
+        "status": "finished",
+        "class": {
+          "code": "ACUTE",
+          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
+        },
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "serviceProvider": {
+          "identifier": {
+            "system": "https://github.com/synthetichealth/synthea",
+            "value": "Organization-HIVSimple2"
+          }
+        },
+        "location": [
+          {
+            "location": {
+              "reference": "Location/Location-HIVSimple2"
+            }
+          }
+        ],
+        "period": {
+          "start": "2020-06-01",
+          "end": "2020-06-01"
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/DiagnosticReport/DiagnosticReport-ViralLoad2",
+      "request": {
+        "url": "DiagnosticReport",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "DiagnosticReport",
+        "id": "DiagnosticReport-ViralLoad2",
+        "status": "final",
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "encounter": {
+          "reference": "Encounter/Encounter-ViralLoad2"
+        },
+        "result": [
+          {
+            "reference": "Observation/Observation-ViralLoad2"
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "code": "25836-8",
+              "system": "http://loinc.org",
+              "display": "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
+            }
+          ]
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/Observation-ViralLoad2",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "Observation-ViralLoad2",
+        "status": "final",
+        "subject": {
+          "reference": "Patient/Patient-HIVSimple2"
+        },
+        "encounter": {
+          "reference": "Encounter/Encounter-ViralLoad2"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "25836-8",
+              "system": "http://loinc.org",
+              "display": "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
+            }
+          ]
+        },
+        "valueQuantity": {
+          "value": 741660,
+          "unit": "copies/mL",
+          "system": "http://unitsofmeasure.org",
+          "code": "{copies}/mL"
+        }
+      }
+    }
+  ]
+}
diff --git a/input/tests/Debug/PatientCIEL/Bundle-ExampleCIEL.json b/input/tests/Debug/PatientCIEL/Bundle-ExampleCIEL.json
new file mode 100644
index 000000000..7330df4e1
--- /dev/null
+++ b/input/tests/Debug/PatientCIEL/Bundle-ExampleCIEL.json
@@ -0,0 +1,126 @@
+{
+  "resourceType": "Bundle",
+  "id": "ExampleCIEL",
+  "type": "transaction",
+  "entry": [
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Patient/PatientCIEL",
+      "request": {
+        "url": "Patient",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Patient",
+        "id": "PatientCIEL",
+        "name": [
+          {
+            "given": [
+              "Mittens"
+            ],
+            "family": "Cat",
+            "text": "Mittens Cat"
+          }
+        ],
+        "gender": "female",
+        "birthDate": "1985-01-01"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Organization/OrganizationCIEL",
+      "request": {
+        "url": "Organization",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Organization",
+        "id": "OrganizationCIEL",
+        "name": "OrganizationCIEL Government Hospital"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Location/LocationCIEL",
+      "request": {
+        "url": "Location",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Location",
+        "id": "LocationCIEL"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Condition/Condition-PregnancyCIEL",
+      "request": {
+        "url": "Condition",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Condition",
+        "id": "Condition-PregnancyCIEL",
+        "clinicalStatus": {
+          "coding": [
+            {
+              "code": "inactive",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
+            }
+          ]
+        },
+        "verificationStatus": {
+          "coding": [
+            {
+              "code": "confirmed",
+              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/PatientCIEL"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "77386006",
+              "system": "http://snomed.info/sct",
+              "display": "Pregnancy (finding)"
+            }
+          ]
+        },
+        "onsetDateTime": "2020-01-01",
+        "abatementDateTime": "2020-09-30"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/ObservationCIEL",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "ObservationCIEL",
+        "status": "final",
+        "subject": {
+          "reference": "Patient/PatientCIEL"
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "160119",
+              "system": "https://openconceptlab.org/orgs/CIEL/sources/CIEL",
+              "display": "CURRENTLY TAKING ARV"
+            }
+          ]
+        },
+        "valueCodeableConcept": {
+          "coding": [
+            {
+              "code": "1065",
+              "system": "https://openconceptlab.org/orgs/CIEL/sources/CIEL",
+              "display": "YES"
+            }
+          ]
+        }
+      }
+    }
+  ]
+}
diff --git a/input/tests/Debug/PatientOMRS0/Bundle-ExampleOMRS0.json b/input/tests/Debug/PatientOMRS0/Bundle-ExampleOMRS0.json
new file mode 100644
index 000000000..696180818
--- /dev/null
+++ b/input/tests/Debug/PatientOMRS0/Bundle-ExampleOMRS0.json
@@ -0,0 +1,185 @@
+{
+  "resourceType": "Bundle",
+  "id": "ExampleOMRS0",
+  "type": "transaction",
+  "entry": [
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Patient/PatientOMRS0",
+      "request": {
+        "url": "Patient",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Patient",
+        "id": "PatientOMRS0",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/omrs-patient"
+          ]
+        },
+        "active": true,
+        "identifier": [
+          {
+            "extension": [
+              {
+                "url": "http://fhir.openmrs.org/core/StructureDefinition/omrs-patient-identifier-location",
+                "valueReference": {
+                  "reference": "Location/a3b793f0-eb53-4cda-92ce-fe0a77106252",
+                  "type": "Location",
+                  "display": "Inpatient Ward"
+                }
+              }
+            ],
+            "use": "official",
+            "type": {
+              "coding": [
+                {
+                  "code": "MR",
+                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
+                }
+              ],
+              "text": "OpenMRS ID"
+            },
+            "value": "4343534"
+          }
+        ],
+        "name": [
+          {
+            "family": "Jeannette",
+            "given": [
+              "Ricky"
+            ]
+          }
+        ],
+        "gender": "male",
+        "birthDate": "1996-12-12",
+        "telecom": [
+          {
+            "value": "+256788232241",
+            "system": "phone"
+          }
+        ],
+        "address": [
+          {
+            "use": "home",
+            "country": "Washington",
+            "city": "Washington",
+            "district": "Washington"
+          }
+        ],
+        "deceasedBoolean": false
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Location/LocationExample",
+      "request": {
+        "url": "Location",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Location",
+        "id": "a3b793f0-eb53-4cda-92ce-fe0a77106252",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/omrs-location"
+          ]
+        },
+        "status": "active",
+        "name": "Outpatient Clinic",
+        "description": "Outpatient Clinic",
+        "type": [
+          {
+            "coding": [
+              {
+                "code": "SLEEP",
+                "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
+                "display": "Sleep disorders unit"
+              }
+            ]
+          }
+        ],
+        "telecom": [
+          {
+            "system": "phone",
+            "value": "(+1) 734-677-7777"
+          },
+          {
+            "system": "fax",
+            "value": "(+1) 734-677-6622"
+          },
+          {
+            "system": "email",
+            "value": "hq@HL7.org"
+          }
+        ],
+        "address": {
+          "use": "home",
+          "line": [
+            "3300 Washtenaw Avenue, Suite 227"
+          ],
+          "city": "Ann Arbor",
+          "district": "Mukono",
+          "state": "MI",
+          "postalCode": "48104",
+          "country": "USA"
+        },
+        "position": {
+          "latitude": 42.2565,
+          "longitude": -83.69471
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/ObservationOMRS0",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "ObservationOMRS0",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/OpenMRS-observation"
+          ]
+        },
+        "category": [
+          {
+            "coding": [
+              {
+                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+                "code": "exam"
+              }
+            ]
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "code": "160119",
+              "system": "https://openconceptlab.org/orgs/CIEL/sources/CIEL",
+              "display": "Currently taking ARV"
+            }
+          ],
+          "text": "Currently taking ARV"
+        },
+        "status": "final",
+        "subject": {
+          "reference": "Patient/PatientOMRS0"
+        },
+        "encounter": {
+          "reference": "Encounter/5b829d01-34bb-47d1-b1bb-9303c3a9ebcb"
+        },
+        "valueCodeableConcept": {
+          "coding": [
+            {
+              "code": "1065",
+              "system": "https://openconceptlab.org/orgs/CIEL/sources/CIEL",
+              "display": "Yes"
+            }
+          ]
+        }
+      }
+    }
+  ]
+}
diff --git a/input/tests/Debug/example-openmrs-Patient/Bundle-Example0.json b/input/tests/Debug/example-openmrs-Patient/Bundle-Example0.json
new file mode 100644
index 000000000..e049c1e2e
--- /dev/null
+++ b/input/tests/Debug/example-openmrs-Patient/Bundle-Example0.json
@@ -0,0 +1,328 @@
+{
+  "resourceType": "Bundle",
+  "id": "Example0",
+  "type": "transaction",
+  "entry": [
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Patient/example-openmrs-Patient",
+      "request": {
+        "url": "Patient",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Patient",
+        "id": "example-openmrs-Patient",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/omrs-patient"
+          ]
+        },
+        "active": true,
+        "identifier": [
+          {
+            "extension": [
+              {
+                "url": "http://fhir.openmrs.org/core/StructureDefinition/omrs-patient-identifier-location",
+                "valueReference": {
+                  "reference": "Location/a3b793f0-eb53-4cda-92ce-fe0a77106252",
+                  "type": "Location",
+                  "display": "Inpatient Ward"
+                }
+              }
+            ],
+            "use": "official",
+            "type": {
+              "coding": [
+                {
+                  "code": "MR",
+                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
+                }
+              ],
+              "text": "OpenMRS ID"
+            },
+            "value": "4343534"
+          }
+        ],
+        "name": [
+          {
+            "family": "Jeannette",
+            "given": [
+              "Ricky"
+            ]
+          }
+        ],
+        "gender": "male",
+        "birthDate": "1996-12-12",
+        "telecom": [
+          {
+            "value": "+256788232241",
+            "system": "phone"
+          }
+        ],
+        "address": [
+          {
+            "use": "home",
+            "country": "Washington",
+            "city": "Washington",
+            "district": "Washington"
+          }
+        ],
+        "deceasedBoolean": false
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Location/LocationExample",
+      "request": {
+        "url": "Location",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Location",
+        "id": "a3b793f0-eb53-4cda-92ce-fe0a77106252",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/omrs-location"
+          ]
+        },
+        "status": "active",
+        "name": "Outpatient Clinic",
+        "description": "Outpatient Clinic",
+        "type": [
+          {
+            "coding": [
+              {
+                "code": "SLEEP",
+                "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
+                "display": "Sleep disorders unit"
+              }
+            ]
+          }
+        ],
+        "telecom": [
+          {
+            "system": "phone",
+            "value": "(+1) 734-677-7777"
+          },
+          {
+            "system": "fax",
+            "value": "(+1) 734-677-6622"
+          },
+          {
+            "system": "email",
+            "value": "hq@HL7.org"
+          }
+        ],
+        "address": {
+          "use": "home",
+          "line": [
+            "3300 Washtenaw Avenue, Suite 227"
+          ],
+          "city": "Ann Arbor",
+          "district": "Mukono",
+          "state": "MI",
+          "postalCode": "48104",
+          "country": "USA"
+        },
+        "position": {
+          "latitude": 42.2565,
+          "longitude": -83.69471
+        }
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Condition/ConditionExample",
+      "request": {
+        "url": "Condition",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Condition",
+        "id": "a6867095-e2b1-4a68-9aaa-0d161a37ce9c",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/omrs-Condition"
+          ]
+        },
+        "code": {
+          "coding": [
+            {
+              "system": "https://openconceptlab.org/orgs/CIEL/sources/CIEL",
+              "code": "116128"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/example-openmrs-Patient",
+          "type": "Patient",
+          "identifier": {
+            "use": "official",
+            "value": "101-6"
+          },
+          "display": "Horatio Hornblower (OpenMRS ID:101-6)"
+        },
+        "recordedDate": "2019-06-18T06:37:26+03:00"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Encounter/EncounterExample",
+      "request": {
+        "url": "Encounter",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Encounter",
+        "id": "5b829d01-34bb-47d1-b1bb-9303c3a9ebcb",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/omrs-encounter"
+          ]
+        },
+        "status": "unknown",
+        "class": {
+          "code": "AMB",
+          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
+        },
+        "subject": {
+          "reference": "Patient/example-openmrs-Patient",
+          "type": "Patient"
+        },
+        "type": [
+          {
+            "coding": [
+              {
+                "code": "67a71486-1a54-468f-ac3e-7091a9a79584",
+                "display": "Vitals",
+                "system": "http://fhir.openmrs.org/code-system/encounter-type"
+              }
+            ]
+          }
+        ],
+        "period": {
+          "start": "2022-06-22",
+          "end": "2022-06-22"
+        },
+        "location": [
+          {
+            "location": {
+              "reference": "Location/a3b793f0-eb53-4cda-92ce-fe0a77106252"
+            }
+          }
+        ]
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/DiagnosticReport/example-Openmrs-DiagnosticReport",
+      "request": {
+        "url": "DiagnosticReport",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "DiagnosticReport",
+        "id": "8a849d5e-6011-4279-a124-40ada5a687de",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/OpenMRS-diagnostic-report"
+          ]
+        },
+        "code": {
+          "coding": [
+            {
+              "code": "8480-6",
+              "system": "http://loinc.org",
+              "display": "Systolic blood pressure"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/example-openmrs-Patient"
+        },
+        "encounter": {
+          "reference": "Encounter/5b829d01-34bb-47d1-b1bb-9303c3a9ebcb"
+        },
+        "result": [
+          {
+            "reference": "Observation/example-openmrs-Observation"
+          }
+        ],
+        "issued": "2011-03-04T11:45:33+11:00",
+        "status": "final"
+      }
+    },
+    {
+      "fullUrl": "https://path-global-health.github.io/MERindicators/Observation/example-openmrs-Observation",
+      "request": {
+        "url": "Observation",
+        "method": "POST"
+      },
+      "resource": {
+        "resourceType": "Observation",
+        "id": "example-openmrs-Observation",
+        "meta": {
+          "profile": [
+            "http://fhir.openmrs.org/core/StructureDefinition/OpenMRS-observation"
+          ]
+        },
+        "category": [
+          {
+            "coding": [
+              {
+                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+                "code": "exam"
+              }
+            ]
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "code": "431314004",
+              "system": "http://snomed.info/sct",
+              "display": "SpO2 - saturation of peripheral oxygen"
+            }
+          ],
+          "text": "Arterial blood oxygen saturation (pulse oximeter)"
+        },
+        "status": "final",
+        "subject": {
+          "reference": "Patient/example-openmrs-Patient"
+        },
+        "encounter": {
+          "reference": "Encounter/5b829d01-34bb-47d1-b1bb-9303c3a9ebcb"
+        },
+        "valueQuantity": {
+          "value": 25,
+          "unit": "DEG C"
+        },
+        "interpretation": [
+          {
+            "coding": [
+              {
+                "code": "H",
+                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
+                "display": "High"
+              }
+            ]
+          }
+        ],
+        "referenceRange": [
+          {
+            "low": {
+              "value": 10
+            },
+            "high": {
+              "value": 272
+            },
+            "type": {
+              "coding": [
+                {
+                  "system": "http://fhir.openmrs.org/ext/obs/reference-range",
+                  "code": "absolute"
+                }
+              ]
+            }
+          }
+        ]
+      }
+    }
+  ]
+}