Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.1.0: STU 3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

: Multiple Indv Mrp Obs Report - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "multiple-indv-mrp-obs-report"];
  fhir:Bundle.type [ fhir:value "transaction"];
  fhir:Bundle.timestamp [ fhir:value "2020-07-08T22:17:14.187160Z"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Observation/observation03" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Observation/observation03>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Observation" ]     ]
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Encounter/encounter02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Encounter/encounter02>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Organization/organization02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Organization/organization02>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Practitioner/practitioner02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Practitioner/practitioner02>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Practitioner" ]     ]
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Organization/organization03" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Organization/organization03>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Practitioner/practitioner01" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Practitioner/practitioner01>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Practitioner" ]     ]
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Patient/patient03" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Patient/patient03>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Patient" ]     ]
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Encounter/encounter03" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Encounter/encounter03>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02a" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/MeasureReport/indv-measurereport02a>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MeasureReport" ]     ]
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Observation/observation02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Observation/observation02>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Observation" ]     ]
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/MeasureReport/indv-measurereport02>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MeasureReport" ]     ]
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Organization/organization01" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Organization/organization01>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02b" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/MeasureReport/indv-measurereport02b>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MeasureReport" ]     ]
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Encounter/encounter01" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Encounter/encounter01>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Observation/observation01" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Observation/observation01>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Observation" ]     ]
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Patient/patient01" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Patient/patient01>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Patient" ]     ]
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/receiver/Patient/patient02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/receiver/Patient/patient02>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Patient" ]     ]
  ].

<http://example.org/fhir/receiver/Observation/observation03> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation03"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: observation03</p><p><b>meta</b>: </p><p></p><p><b>category</b>: <span title=\"Codes: {http://example.org/fhir/observation-category measure}\">Measure</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter03\">See above (Encounter/encounter03)</a></p><p><b>effective</b>: 01/10/2018 12:15:04 AM</p><p><b>issued</b>: 01/10/2018 12:15:04 AM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner02\">See above (Practitioner/practitioner02)</a></p><p><b>value</b>: true</p></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/fhir/observation-category" ];
       fhir:Coding.code [ fhir:value "measure" ];
       fhir:Coding.display [ fhir:value "Measure" ]     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "1111F" ];
       fhir:Coding.display [ fhir:value "Medication Reconciliation" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient03" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/encounter03" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2018-09-30T14:15:04.424Z"^^xsd:dateTime];
  fhir:Observation.issued [ fhir:value "2018-09-30T14:15:04.424Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner02" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.org/fhir/receiver/Encounter/encounter02> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "encounter02"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: encounter02</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 239279000}\">Fixation of fracture</span></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>period</b>: 30/05/2018 1:00:00 AM --&gt; 30/05/2018 1:00:00 AM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "IMP" ];
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:239279000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "239279000" ];
       fhir:Coding.display [ fhir:value "Fixation of fracture" ]     ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient02" ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2018-05-29T11:00:00-04:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2018-05-29T11:00:00-04:00"^^xsd:dateTime ]
  ];
  fhir:Encounter.hospitalization [
     fhir:Encounter.hospitalization.dischargeDisposition [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/discharge-disposition" ];
         fhir:Coding.code [ fhir:value "home" ];
         fhir:Coding.display [ fhir:value "Home" ]       ]     ]
  ].

<http://example.org/fhir/receiver/Organization/organization02> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization02"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "3" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-03-06T19:03:03.000+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organization02</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number: 234567891 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital02</p><p><b>telecom</b>: ph: (+1) 551-555-1212</p><p><b>address</b>: 3 Sherwood St. Englewood NJ 07631 USA </p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "TAX" ];
         fhir:Coding.display [ fhir:value "Tax ID number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.4" ];
     fhir:Identifier.value [ fhir:value "234567891" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.irs.gov" ]     ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
       fhir:Coding.code [ fhir:value "prov" ];
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]     ]
  ];
  fhir:Organization.name [ fhir:value "DaVinciHospital02"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 551-555-1212" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "3 Sherwood St.";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Englewood" ];
     fhir:Address.state [ fhir:value "NJ" ];
     fhir:Address.postalCode [ fhir:value "07631" ];
     fhir:Address.country [ fhir:value "USA" ]
  ].

<http://example.org/fhir/receiver/Practitioner/practitioner02> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "practitioner02"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: practitioner02</p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number: 9998266512 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>name</b>: Emile Zieme(OFFICIAL)</p><p><b>telecom</b>: ph: 8605555555(WORK), ph: 8605555555(WORK)</p><p><b>address</b>: UCONN MEDICAL GROUP, FARMINGTON, CT 060300001(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1964-06-19</p><p><b>communication</b>: <span title=\"Codes: {urn:ietf:bcp:47 es}\">English and Spanish</span></p></div>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "9998266512" ];
     fhir:Identifier.period [
       fhir:Period.start [ fhir:value "2005-07-16T09:00:00-05:00"^^xsd:dateTime ]     ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.cms.gov" ]     ]
  ];
  fhir:Practitioner.active [ fhir:value "true"^^xsd:boolean];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.text [ fhir:value "Emile Zieme" ];
     fhir:HumanName.family [ fhir:value "Zieme" ];
     fhir:HumanName.given [
       fhir:value "Emile";
       fhir:index 0     ];
     fhir:HumanName.suffix [
       fhir:value "M.D.";
       fhir:index 0     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "8605555555" ];
     fhir:ContactPoint.use [ fhir:value "work" ];
     fhir:ContactPoint.rank [ fhir:value "1"^^xsd:positiveInteger ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "8605555555" ];
     fhir:ContactPoint.use [ fhir:value "work" ];
     fhir:ContactPoint.rank [ fhir:value "2"^^xsd:positiveInteger ]
  ];
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "latitude" ];
         fhir:Extension.valueDecimal [ fhir:value "41.791776"^^xsd:decimal ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "longitude" ];
         fhir:Extension.valueDecimal [ fhir:value "-72.718832"^^xsd:decimal ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/geolocation" ]     ];
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.type [ fhir:value "both" ];
     fhir:Address.text [ fhir:value "UCONN MEDICAL GROUP, FARMINGTON, CT 060300001" ];
     fhir:Address.line [
       fhir:value "UCONN MEDICAL GROUP";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "FARMINGTON" ];
     fhir:Address.state [ fhir:value "CT" ];
     fhir:Address.postalCode [ fhir:value "060300001" ];
     fhir:Address.country [ fhir:value "USA" ]
  ];
  fhir:Practitioner.gender [ fhir:value "male"];
  fhir:Practitioner.birthDate [ fhir:value "1964-06-19"^^xsd:date];
  fhir:Practitioner.communication [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
       fhir:Coding.code [ fhir:value "es" ];
       fhir:Coding.display [ fhir:value "Spanish" ];
       fhir:Coding.userSelected [ fhir:value "true"^^xsd:boolean ]     ];
     fhir:CodeableConcept.text [ fhir:value "English and Spanish" ]
  ].

<http://example.org/fhir/receiver/Organization/organization03> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization03"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "3" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-02-21T01:47:53.000+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organization03</p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number: 345678912 (OFFICIAL), Provider number: 082584 (SECONDARY)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital03</p><p><b>telecom</b>: ph: (+1) 201-555-1212</p><p><b>address</b>: 94 Olive Ave. Union City NJ 07087 USA </p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "345678912" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.cms.gov" ]     ]
  ], [
     fhir:index 1;
     fhir:Identifier.use [ fhir:value "secondary" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.336" ];
     fhir:Identifier.value [ fhir:value "082584" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.cms.gov" ]     ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
       fhir:Coding.code [ fhir:value "prov" ];
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]     ]
  ];
  fhir:Organization.name [ fhir:value "DaVinciHospital03"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 201-555-1212" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "94 Olive Ave.";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Union City" ];
     fhir:Address.state [ fhir:value "NJ" ];
     fhir:Address.postalCode [ fhir:value "07087" ];
     fhir:Address.country [ fhir:value "USA" ]
  ].

<http://example.org/fhir/receiver/Practitioner/practitioner01> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "practitioner01"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: practitioner01</p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number: 345678912 (OFFICIAL), Provider number: 082583 (SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "345678912" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.cms.gov" ]     ]
  ], [
     fhir:index 1;
     fhir:Identifier.use [ fhir:value "secondary" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.336" ];
     fhir:Identifier.value [ fhir:value "082583" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.cms.gov" ]     ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Bone" ];
     fhir:HumanName.given [
       fhir:value "Ronald";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr";
       fhir:index 0     ]
  ];
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.line [
       fhir:value "1003 Healthcare Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Amherst" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01002" ]
  ].

<http://example.org/fhir/receiver/Patient/patient03> a fhir:Patient;
  fhir:Resource.id [ fhir:value "patient03"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-02-07T18:47:34.000+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: patient03</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: 34567 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Virginia Hartman (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1983-09-12</p><p><b>deceased</b>: false</p><p><b>address</b>: 213 Lilac Ave. Freehold MI 48099 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus U}\">unmarried</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization03\">See above (Organization/organization03)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "F" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2054-5" ];
         fhir:Coding.display [ fhir:value "Black or African American" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Black or African American" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ];
         fhir:Coding.display [ fhir:value "Medical record number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.davinci.org" ];
     fhir:Identifier.value [ fhir:value "34567" ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "Hartman" ];
     fhir:HumanName.given [
       fhir:value "Virginia";
       fhir:index 0     ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1983-09-12"^^xsd:date];
  fhir:Patient.deceasedBoolean [ fhir:value "false"^^xsd:boolean];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.line [
       fhir:value "213 Lilac Ave.";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Freehold" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "48099" ];
     fhir:Address.country [ fhir:value "USA" ]
  ];
  fhir:Patient.maritalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ];
       fhir:Coding.code [ fhir:value "U" ];
       fhir:Coding.display [ fhir:value "unmarried" ]     ]
  ];
  fhir:Patient.communication [
     fhir:index 0;
     fhir:Patient.communication.language [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
         fhir:Coding.code [ fhir:value "en-US" ];
         fhir:Coding.display [ fhir:value "English (Region=United States)" ]       ]     ];
     fhir:Patient.communication.preferred [ fhir:value "true"^^xsd:boolean ]
  ];
  fhir:Patient.managingOrganization [
     fhir:Reference.reference [ fhir:value "Organization/organization03" ]
  ].

<http://example.org/fhir/receiver/Encounter/encounter03> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "encounter03"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: encounter03</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 53950000}\">Respiratory therapy</span></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>period</b>: 30/05/2018 1:00:00 AM --&gt; 30/05/2018 1:00:00 AM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "IMP" ];
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:53950000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "53950000" ];
       fhir:Coding.display [ fhir:value "Respiratory therapy" ]     ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient03" ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2018-05-29T11:00:00-04:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2018-05-29T11:00:00-04:00"^^xsd:dateTime ]
  ];
  fhir:Encounter.hospitalization [
     fhir:Encounter.hospitalization.dischargeDisposition [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/discharge-disposition" ];
         fhir:Coding.code [ fhir:value "home" ];
         fhir:Coding.display [ fhir:value "Home" ]       ]     ]
  ].

<http://example.org/fhir/receiver/MeasureReport/indv-measurereport02a> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "indv-measurereport02a"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: indv-measurereport02a</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>date</b>: 06/09/2018 2:59:52 AM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes: {http://example.org mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: numerator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: denominator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation02\">See above (Observation/observation02)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
         fhir:Coding.code [ fhir:value "proportion" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
       fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Organization/organization02" ]     ]
  ];
  fhir:MeasureReport.status [ fhir:value "complete"];
  fhir:MeasureReport.type [ fhir:value "individual"];
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example>
  ];
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient02" ]
  ];
  fhir:MeasureReport.date [ fhir:value "2018-09-05T16:59:52.404Z"^^xsd:dateTime];
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "Organization/organization01" ]
  ];
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-08-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-09-01"^^xsd:date ]
  ];
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ];
       fhir:Coding.display [ fhir:value "Increased score indicates improvement" ]     ]
  ];
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org" ];
         fhir:Coding.code [ fhir:value "mrp-group" ];
         fhir:Coding.display [ fhir:value "MRP Group" ]       ];
       fhir:CodeableConcept.text [ fhir:value "MRP Group" ]     ];
     fhir:MeasureReport.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "initial-population" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "numerator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "denominator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]     ]
  ];
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/observation02" ]
  ].

<http://example.org/fhir/receiver/Observation/observation02> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation02"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: observation02</p><p><b>meta</b>: </p><p></p><p><b>category</b>: <span title=\"Codes: {http://example.org/fhir/observation-category measure}\">Measure</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter02\">See above (Encounter/encounter02)</a></p><p><b>effective</b>: 01/10/2018 12:15:04 AM</p><p><b>issued</b>: 01/10/2018 12:15:04 AM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner02\">See above (Practitioner/practitioner02)</a></p><p><b>value</b>: true</p></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/fhir/observation-category" ];
       fhir:Coding.code [ fhir:value "measure" ];
       fhir:Coding.display [ fhir:value "Measure" ]     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "1111F" ];
       fhir:Coding.display [ fhir:value "Medication Reconciliation" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient02" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/encounter02" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2018-09-30T14:15:04.424Z"^^xsd:dateTime];
  fhir:Observation.issued [ fhir:value "2018-09-30T14:15:04.424Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner02" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.org/fhir/receiver/MeasureReport/indv-measurereport02> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "indv-measurereport02"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: indv-measurereport02</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>date</b>: 06/09/2018 2:59:52 AM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes: {http://example.org mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: numerator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: denominator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation01\">See above (Observation/observation01)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
         fhir:Coding.code [ fhir:value "proportion" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
       fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Organization/organization02" ]     ]
  ];
  fhir:MeasureReport.status [ fhir:value "complete"];
  fhir:MeasureReport.type [ fhir:value "individual"];
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example>
  ];
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient01" ]
  ];
  fhir:MeasureReport.date [ fhir:value "2018-09-05T16:59:52.404Z"^^xsd:dateTime];
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "Organization/organization01" ]
  ];
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-08-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-09-01"^^xsd:date ]
  ];
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ];
       fhir:Coding.display [ fhir:value "Increased score indicates improvement" ]     ]
  ];
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org" ];
         fhir:Coding.code [ fhir:value "mrp-group" ];
         fhir:Coding.display [ fhir:value "MRP Group" ]       ];
       fhir:CodeableConcept.text [ fhir:value "MRP Group" ]     ];
     fhir:MeasureReport.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "initial-population" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "numerator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "denominator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]     ]
  ];
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/observation01" ]
  ].

<http://example.org/fhir/receiver/Organization/organization01> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization01"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-02-21T01:47:54.000+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organization01</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number: 123456789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "TAX" ];
         fhir:Coding.display [ fhir:value "Tax ID number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.4" ];
     fhir:Identifier.value [ fhir:value "123456789" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.irs.gov" ]     ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
       fhir:Coding.code [ fhir:value "prov" ];
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]     ]
  ];
  fhir:Organization.name [ fhir:value "DaVinciHospital01"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 401-555-1212" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "73 Lakewood Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Warwick" ];
     fhir:Address.state [ fhir:value "RI" ];
     fhir:Address.postalCode [ fhir:value "02886" ];
     fhir:Address.country [ fhir:value "USA" ]
  ].

<http://example.org/fhir/receiver/MeasureReport/indv-measurereport02b> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "indv-measurereport02b"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: indv-measurereport02b</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>date</b>: 06/09/2018 2:59:52 AM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes: {http://example.org mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: numerator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: denominator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation03\">See above (Observation/observation03)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
         fhir:Coding.code [ fhir:value "proportion" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
       fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Organization/organization02" ]     ]
  ];
  fhir:MeasureReport.status [ fhir:value "complete"];
  fhir:MeasureReport.type [ fhir:value "individual"];
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example>
  ];
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient03" ]
  ];
  fhir:MeasureReport.date [ fhir:value "2018-09-05T16:59:52.404Z"^^xsd:dateTime];
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "Organization/organization01" ]
  ];
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-08-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-09-01"^^xsd:date ]
  ];
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ];
       fhir:Coding.display [ fhir:value "Increased score indicates improvement" ]     ]
  ];
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org" ];
         fhir:Coding.code [ fhir:value "mrp-group" ];
         fhir:Coding.display [ fhir:value "MRP Group" ]       ];
       fhir:CodeableConcept.text [ fhir:value "MRP Group" ]     ];
     fhir:MeasureReport.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "initial-population" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "numerator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "denominator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]     ]
  ];
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/observation03" ]
  ].

<http://example.org/fhir/receiver/Encounter/encounter01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "encounter01"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: encounter01</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 56876005}\">Drug rehabilitation and detoxification</span></p><p><b>subject</b>: <a href=\"#Patient_patient01\">Jairo Webster. Generated Summary: id: patient01; Medical record number: 12345 (USUAL); active; Jairo Webster (OFFICIAL); gender: male; birthDate: 1946-12-16; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>period</b>: 30/05/2018 1:00:00 AM --&gt; 30/05/2018 1:00:00 AM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "IMP" ];
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:56876005;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "56876005" ];
       fhir:Coding.display [ fhir:value "Drug rehabilitation and detoxification" ]     ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient01" ];
     fhir:Reference.display [ fhir:value "Jairo Webster" ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2018-05-29T11:00:00-04:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2018-05-29T11:00:00-04:00"^^xsd:dateTime ]
  ];
  fhir:Encounter.hospitalization [
     fhir:Encounter.hospitalization.dischargeDisposition [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/discharge-disposition" ];
         fhir:Coding.code [ fhir:value "home" ];
         fhir:Coding.display [ fhir:value "Home" ]       ]     ]
  ].

<http://example.org/fhir/receiver/Observation/observation01> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation01"];
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: observation01</p><p><b>meta</b>: </p><p></p><p><b>category</b>: <span title=\"Codes: {http://example.org/observation-category measure}\">Measure</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>subject</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter01\">See above (Encounter/encounter01)</a></p><p><b>effective</b>: 30/09/2018 12:15:04 AM</p><p><b>issued</b>: 30/09/2018 12:15:04 AM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner01\">See above (Practitioner/practitioner01)</a></p><p><b>value</b>: true</p></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/observation-category" ];
       fhir:Coding.code [ fhir:value "measure" ];
       fhir:Coding.display [ fhir:value "Measure" ]     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "1111F" ];
       fhir:Coding.display [ fhir:value "Medication Reconciliation" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient01" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/encounter01" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2018-09-29T14:15:04.424Z"^^xsd:dateTime];
  fhir:Observation.issued [ fhir:value "2018-09-29T14:15:04.424Z"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner01" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.org/fhir/receiver/Patient/patient01> a fhir:Patient;
  fhir:Resource.id [ fhir:value "patient01"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "5" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-02-11T14:19:25.000+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: patient01</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: 12345 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Jairo Webster (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1946-12-16</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "M" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2106-3" ];
         fhir:Coding.display [ fhir:value "White" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "White" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ];
         fhir:Coding.display [ fhir:value "Medical record number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.davinci.org" ];
     fhir:Identifier.value [ fhir:value "12345" ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "Webster" ];
     fhir:HumanName.given [
       fhir:value "Jairo";
       fhir:index 0     ]
  ];
  fhir:Patient.gender [ fhir:value "male"];
  fhir:Patient.birthDate [ fhir:value "1946-12-16"^^xsd:date];
  fhir:Patient.deceasedBoolean [ fhir:value "false"^^xsd:boolean];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.line [
       fhir:value "7496 Beaver Ridge Ave";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Thornton" ];
     fhir:Address.state [ fhir:value "NJ" ];
     fhir:Address.postalCode [ fhir:value "07003" ];
     fhir:Address.country [ fhir:value "USA" ]
  ];
  fhir:Patient.maritalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ];
       fhir:Coding.code [ fhir:value "M" ];
       fhir:Coding.display [ fhir:value "Married" ]     ]
  ];
  fhir:Patient.communication [
     fhir:index 0;
     fhir:Patient.communication.language [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
         fhir:Coding.code [ fhir:value "en-US" ];
         fhir:Coding.display [ fhir:value "English (Region=United States)" ]       ]     ];
     fhir:Patient.communication.preferred [ fhir:value "true"^^xsd:boolean ]
  ];
  fhir:Patient.managingOrganization [
     fhir:Reference.reference [ fhir:value "Organization/organization01" ]
  ].

<http://example.org/fhir/receiver/Patient/patient02> a fhir:Patient;
  fhir:Resource.id [ fhir:value "patient02"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-03-06T19:03:03.000+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: patient02</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: 23456 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Darien Bernard (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1967-06-13</p><p><b>deceased</b>: false</p><p><b>address</b>: 6 Rockwell Street Lynnwood NJ 07420 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "M" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2028-9" ];
         fhir:Coding.display [ fhir:value "Asian" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Asian" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ];
         fhir:Coding.display [ fhir:value "Medical record number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.davinci.org" ];
     fhir:Identifier.value [ fhir:value "23456" ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "Bernard" ];
     fhir:HumanName.given [
       fhir:value "Darien";
       fhir:index 0     ]
  ];
  fhir:Patient.gender [ fhir:value "male"];
  fhir:Patient.birthDate [ fhir:value "1967-06-13"^^xsd:date];
  fhir:Patient.deceasedBoolean [ fhir:value "false"^^xsd:boolean];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.line [
       fhir:value "6 Rockwell Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Lynnwood" ];
     fhir:Address.state [ fhir:value "NJ" ];
     fhir:Address.postalCode [ fhir:value "07420" ];
     fhir:Address.country [ fhir:value "USA" ]
  ];
  fhir:Patient.maritalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ];
       fhir:Coding.code [ fhir:value "M" ];
       fhir:Coding.display [ fhir:value "Married" ]     ]
  ];
  fhir:Patient.communication [
     fhir:index 0;
     fhir:Patient.communication.language [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
         fhir:Coding.code [ fhir:value "en-US" ];
         fhir:Coding.display [ fhir:value "English (Region=United States)" ]       ]     ];
     fhir:Patient.communication.preferred [ fhir:value "true"^^xsd:boolean ]
  ];
  fhir:Patient.managingOrganization [
     fhir:Reference.reference [ fhir:value "Organization/organization02" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.