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

: Gaps Bundle Closed Individual MeasureReport01 - 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "single-gaps-closed-indv-report01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm>     ]
  ];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Composition/gaps-composition02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Composition/gaps-composition02>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Encounter/gaps-encounter02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Encounter/gaps-encounter02>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Procedure/gaps-procedure01" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Procedure/gaps-procedure01>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Patient/gaps-patient02" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Patient/gaps-patient02>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor>
  ].

<http://example.org/fhir/gaps/Composition/gaps-composition02> a fhir:Composition;
  fhir:Resource.id [ fhir:value "gaps-composition02"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><table class=\"grid dict\"><tr><td><b>Name: </b></td><td><b>DOB: </b></td><td><b>Measure: </b></td><td><b>Gap Status: </b></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><a href=\"Patient-gaps-patient02.html\">Thomas Ludwich</a></td><td style=\"padding-left: 25px; padding-right: 25px;\">January 1, 1957</td><td style=\"padding-left: 25px; padding-right: 25px;\"><a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></td><td style=\"padding-left: 25px; padding-right: 25px;\">Closed</td></tr></table></p><p><b>id</b>: gaps-composition02</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type gaps-doc}\">Gaps in Care Report</span></p><p><b>date</b>: Jun 30, 2020, 7:08:53 AM</p><p><b>author</b>: <a href=\"Organization-gaps-organization-reportingvendor.html\">Generated Summary: id: gaps-organization-reportingvendor; Tax ID number = 123446789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span>; name: GapsReportingVendor01; ph: (+1) 401-545-1212</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient02</p></div>"
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type" ];
       fhir:Coding.code [ fhir:value "gaps-doc" ];
       fhir:Coding.display [ fhir:value "Gaps in Care Report" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ];
  fhir:Composition.date [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]
  ];
  fhir:Composition.title [ fhir:value "Care Gap Report for patient gaps-patient02"];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Colorectal Cancer Screening" ];
     fhir:Composition.section.focus [
       fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport03" ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No detected issues.</p></div>"     ]
  ].

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "gaps-indv-measurereport03"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-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>id</b>: gaps-indv-measurereport03</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>gap status</b>: closed</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></p><p><b>subject</b>: <a href=\"Patient-gaps-patient02.html\">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>date</b>: Jun 30, 2020, 7:08:52 AM</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Dec 31, 2019, 5:00:00 PM --&gt; Dec 30, 2020, 5:00:00 PM</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>id</b>: group-exm130</p><blockquote><p><b>population</b></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>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>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Encounter-gaps-encounter02.html\">Generated Summary: id: gaps-encounter02; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span>; period: Mar 5, 2020, 12:00:00 AM --&gt; Mar 5, 2020, 3:00:00 AM</a></li><li><a href=\"Patient-gaps-patient02.html\">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></li></ul></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/gaps-organization-reportingvendor" ]     ]
  ];
  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-exm130-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
  ];
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ];
  fhir:MeasureReport.date [ fhir:value "2020-06-30T13:08:52+00:00"^^xsd:dateTime];
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "Organization/organization01" ]
  ];
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2020-01-01T00:00:00+00:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2020-12-31T00:00:00+00:00"^^xsd:dateTime ]
  ];
  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:MeasureReport.group [
     fhir:index 0;
     fhir:Element.id [ fhir:value "group-exm130" ];
     fhir:MeasureReport.group.population [
       fhir:index 0;
       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: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: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:index 3;
       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-exclusion" ];
           fhir:Coding.display [ fhir:value "Denominator Exclusion" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "0"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "1.0"^^xsd:decimal ]     ]
  ];
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueCodeableConcept [
         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:Reference.reference [ fhir:value "Encounter/gaps-encounter02" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueCodeableConcept [
         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:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ].

<http://example.org/fhir/gaps/Encounter/gaps-encounter02> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "gaps-encounter02"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-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 AMB}\">ambulatory</span></p><p><b>type</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span></p><p><b>subject</b>: <a href=\"Patient-gaps-patient02.html\">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>period</b>: Mar 5, 2020, 12:00:00 AM --&gt; Mar 5, 2020, 3:00:00 AM</p></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 "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99201" ];
       fhir:Coding.display [ fhir:value "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family." ]     ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2020-03-05T07:00:00-00:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2020-03-05T10:00:00-00:00"^^xsd:dateTime ]
  ].

<http://example.org/fhir/gaps/Procedure/gaps-procedure01> a fhir:Procedure;
  fhir:Resource.id [ fhir:value "gaps-procedure01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-procedure01</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 44393}\">Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique</span></p><p><b>subject</b>: <a href=\"Patient-gaps-patient02.html\">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>performed</b>: Sep 10, 2018, 2:00:00 AM --&gt; Sep 10, 2018, 3:00:00 AM</p></div>"
  ];
  fhir:Procedure.status [ fhir:value "completed"];
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "44393" ];
       fhir:Coding.display [ fhir:value "Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique" ]     ]
  ];
  fhir:Procedure.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ];
  fhir:Procedure.performedPeriod [
     fhir:Period.start [ fhir:value "2018-09-10T08:00:00-00:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2018-09-10T09:00:00-00:00"^^xsd:dateTime ]
  ].

<http://example.org/fhir/gaps/Patient/gaps-patient02> a fhir:Patient;
  fhir:Resource.id [ fhir:value "gaps-patient02"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-patient02</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical Record Number = 999996992 (USUAL)</p><p><b>name</b>: Thomas Ludwich </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1957-01-01</p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     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 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 "2135-2" ];
         fhir:Coding.display [ fhir:value "Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "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.smarthealthit.org" ];
     fhir:Identifier.value [ fhir:value "999996992" ]
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Ludwich" ];
     fhir:HumanName.given [
       fhir:value "Thomas";
       fhir:index 0     ]
  ];
  fhir:Patient.gender [ fhir:value "male"];
  fhir:Patient.birthDate [ fhir:value "1957-01-01"^^xsd:date].

<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization;
  fhir:Resource.id [ fhir:value "gaps-organization-reportingvendor"];
  fhir:Resource.meta [
     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>id</b>: gaps-organization-reportingvendor</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 123446789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 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 "123446789" ];
     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 "pay" ];
       fhir:Coding.display [ fhir:value "Payer" ]     ]
  ];
  fhir:Organization.name [ fhir:value "GapsReportingVendor01"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 401-545-1212" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "13 Drive Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Cityplace" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01101" ];
     fhir:Address.country [ fhir:value "USA" ]
  ].

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

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