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
@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:Parameters; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "multiple-gaps-indv-report02"]; fhir:Parameters.parameter [ fhir:index 0; fhir:Parameters.parameter.name [ fhir:value "return" ]; fhir:Parameters.parameter.resource [ a fhir:Bundle; fhir:Resource.id [ fhir:value "single-gaps-closed-indv-report02" ]; 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:7396eb14-8f5c-4fe1-b023-1c6838152136" ] ]; fhir:Bundle.type [ fhir:value "document" ]; fhir:Bundle.timestamp [ fhir:value "2020-07-07T13:08:53+00:00"^^xsd:dateTime ]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Composition/gaps-composition03" ]; fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Composition/gaps-composition03> ], [ fhir:index 1; fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04" ]; fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04> ], [ fhir:index 2; fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Encounter/gaps-encounter03" ]; fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Encounter/gaps-encounter03> ], [ fhir:index 3; fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Procedure/gaps-procedure02" ]; fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Procedure/gaps-procedure02> ], [ fhir:index 4; fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Patient/gaps-patient01" ]; fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Patient/gaps-patient01> ], [ 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> ] ] ], [ fhir:index 1; fhir:Parameters.parameter.name [ fhir:value "return" ]; fhir:Parameters.parameter.resource [ a fhir:Bundle; 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:80c493d0-e3c7-4e63-81fe-81fb3b16b9ab" ] ]; fhir:Bundle.type [ fhir:value "document" ]; fhir:Bundle.timestamp [ fhir:value "2020-07-07T13:08:53+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-composition03> a fhir:Composition; fhir:Resource.id [ fhir:value "gaps-composition03"]; 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-patient01.html\">Susan Parker</a></td><td style=\"padding-left: 25px; padding-right: 25px;\">January 1, 1965</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-composition03</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>: Jul 7, 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-patient01</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-patient01" ] ]; fhir:Composition.date [ fhir:value "2020-07-07T13:08:53+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-patient01"]; 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-measurereport04" ] ]; 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-measurereport04> a fhir:MeasureReport; fhir:Resource.id [ fhir:value "gaps-indv-measurereport04"]; 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-measurereport04</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-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>date</b>: Jul 7, 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 --> 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-encounter03.html\">Generated Summary: id: gaps-encounter03; 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: Jul 6, 2020, 1:07:00 AM --> Jul 6, 2020, 4:11:00 AM</a></li><li><a href=\"Patient-gaps-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</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-patient01" ] ]; fhir:MeasureReport.date [ fhir:value "2020-07-07T13:08:52+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-encounter03" ] ], [ 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-patient01" ] ]. <http://example.org/fhir/gaps/Encounter/gaps-encounter03> a fhir:Encounter; fhir:Resource.id [ fhir:value "gaps-encounter03"]; 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-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 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-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>period</b>: Jul 6, 2020, 1:07:00 AM --> Jul 6, 2020, 4:11:00 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-patient01" ] ]; fhir:Encounter.period [ fhir:Period.start [ fhir:value "2020-07-06T07:07:00-00:00"^^xsd:dateTime ]; fhir:Period.end [ fhir:value "2020-07-06T10:11:00-00:00"^^xsd:dateTime ] ]. <http://example.org/fhir/gaps/Procedure/gaps-procedure02> a fhir:Procedure; fhir:Resource.id [ fhir:value "gaps-procedure02"]; 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-procedure02</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-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>performed</b>: Jul 6, 2020, 2:00:00 AM --> Jul 6, 2020, 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-patient01" ] ]; fhir:Procedure.performedPeriod [ fhir:Period.start [ fhir:value "2020-07-06T08:00:00-00:00"^^xsd:dateTime ]; fhir:Period.end [ fhir:value "2020-07-06T09:00:00-00:00"^^xsd:dateTime ] ]. <http://example.org/fhir/gaps/Patient/gaps-patient01> a fhir:Patient; fhir:Resource.id [ fhir:value "gaps-patient01"]; 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-patient01</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical Record Number = 999995992 (USUAL)</p><p><b>name</b>: Parker Susan </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</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 "999995992" ] ]; fhir:Patient.name [ fhir:index 0; fhir:HumanName.family [ fhir:value "Susan" ]; fhir:HumanName.given [ fhir:value "Parker"; fhir:index 0 ] ]; fhir:Patient.gender [ fhir:value "female"]; fhir:Patient.birthDate [ fhir:value "1965-01-01"^^xsd:date]. <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization, fhir:Organization; fhir:Resource.id [ fhir:value "gaps-organization-reportingvendor"], [ 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: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: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: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: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: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:value "GapsReportingVendor01"]; fhir:Organization.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "phone" ]; fhir:ContactPoint.value [ fhir:value "(+1) 401-545-1212" ] ], [ 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" ] ], [ 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" ] ]. <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 "2020-07-07T13:08:53+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 --> 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 --> 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 "2020-07-07T13:08:53+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 --> 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 --> 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]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.