Data Exchange For Quality Measures Implementation Guide
4.0.0-ballot - STU Ballot US

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0-ballot: STU4 (v4.0.0) Ballot 1) 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

: Additional Supplemental Data Example - Patient Bundle - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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 "sde-example-patient-data-bundle"]; # 
  fhir:Bundle.type [ fhir:value "transaction"]; # 
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:050deac6-0544-43df-bff9-7506f8687469" ];
     fhir:Bundle.entry.resource <urn:uuid:050deac6-0544-43df-bff9-7506f8687469>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "Patient/patient04" ]     ]
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369" ];
     fhir:Bundle.entry.resource <urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "Encounter/encounter04" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037" ];
     fhir:Bundle.entry.resource <urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "MedicationRequest/nhsn-iip-add101" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c" ];
     fhir:Bundle.entry.resource <urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "MedicationRequest/nhsn-iip-add101-10" ]     ]
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc" ];
     fhir:Bundle.entry.resource <urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ServiceRequest/nhsn-iip-sr-sde" ]     ]
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b7075a17-98a5-429b-a464-3da906001492" ];
     fhir:Bundle.entry.resource <urn:uuid:b7075a17-98a5-429b-a464-3da906001492>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "Location/nhsn-iip-loc101" ]     ]
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69" ];
     fhir:Bundle.entry.resource <urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "Condition/condition04" ]     ]
  ]. # 

<urn:uuid:050deac6-0544-43df-bff9-7506f8687469> a fhir:Patient;
  fhir:Resource.id [ fhir:value "patient04"]; # 
  fhir:Resource.meta [
     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 "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"patient04\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;patient04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-patient.html\">QICorePatient</a></p></div><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = 'White', stated as 'White')</p><p><b>value</b>: American Indian or Alaska Native (Details: urn:oid:2.16.840.1.113883.6.238 code 1002-5 = 'American Indian or Alaska Native', stated as 'American Indian or Alaska Native')</p><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = 'Asian', stated as 'Asian')</p><p><b>value</b>: Shoshone (Details: urn:oid:2.16.840.1.113883.6.238 code 1586-7 = 'Shoshone', stated as 'Shoshone')</p><p><b>value</b>: Filipino (Details: urn:oid:2.16.840.1.113883.6.238 code 2036-2 = 'Filipino', stated as 'Filipino')</p><p><b>value</b>: Mixed</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = 'Hispanic or Latino', stated as 'Hispanic or Latino')</p><p><b>value</b>: Dominican (Details: urn:oid:2.16.840.1.113883.6.238 code 2184-0 = 'Dominican', stated as 'Dominican')</p><p><b>value</b>: Mexican (Details: urn:oid:2.16.840.1.113883.6.238 code 2148-5 = 'Mexican', stated as 'Mexican')</p><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: id: patient04</p><p><b>active</b>: true</p><p><b>name</b>: Jane E. Doe </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1987-02-19</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 "2106-3" ];
         fhir:Coding.display [ fhir:value "White" ]       ]     ], [
       fhir:index 1;
       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 "1002-5" ];
         fhir:Coding.display [ fhir:value "American Indian or Alaska Native" ]       ]     ], [
       fhir:index 2;
       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 3;
       fhir:Extension.url [ fhir:value "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "1586-7" ];
         fhir:Coding.display [ fhir:value "Shoshone" ]       ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2036-2" ];
         fhir:Coding.display [ fhir:value "Filipino" ]       ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Mixed" ]     ];
     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 "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2184-0" ];
         fhir:Coding.display [ fhir:value "Dominican" ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2148-5" ];
         fhir:Coding.display [ fhir:value "Mexican" ]       ]     ], [
       fhir:index 3;
       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.system [ fhir:value "urn:oid:2.16.840.1.113883.6.1000" ];
     fhir:Identifier.value [ fhir:value "patient04" ]
  ]; # 
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean]; # 
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Doe" ];
     fhir:HumanName.given [
       fhir:value "Jane";
       fhir:index 0     ], [
       fhir:value "E.";
       fhir:index 1     ]
  ]; # 
  fhir:Patient.gender [ fhir:value "female"]; # 
  fhir:Patient.birthDate [ fhir:value "1987-02-19"^^xsd:date]. # 

<urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "encounter04"]; # 
  fhir:Resource.meta [
     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: Encounter</b><a name=\"encounter04\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter &quot;encounter04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Encounter for problem (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#185347001)</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Patient/patient01</a> &quot; WEBSTER&quot;</p><p><b>period</b>: 2022-01-01 --&gt; 2022-01-31</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td>*</td><td><a href=\"Condition-nhsn-iip-con101.html\">Condition/nhsn-iip-con101</a></td><td>Chief complaint <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-diagnosis-role.html\">DiagnosisRole</a>#CC)</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td>home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-discharge-disposition.html\">Discharge disposition</a>#home)</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"Location-location01.html\">Location/location01</a> &quot;DaVinciClinic01&quot;</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:185347001;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "185347001" ];
       fhir:Coding.display [ fhir:value "Encounter for problem (procedure)" ]     ]
  ]; # 
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient01" ]
  ]; # 
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2022-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2022-01-31"^^xsd:date ]
  ]; # 
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/nhsn-iip-con101" ]     ];
     fhir:Encounter.diagnosis.use [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role" ];
         fhir:Coding.code [ fhir:value "CC" ]       ]     ]
  ]; # 
  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" ]       ]     ]
  ]; # 
  fhir:Encounter.location [
     fhir:index 0;
     fhir:Encounter.location.location [
       fhir:Reference.reference [ fhir:value "Location/location01" ]     ]
  ]. # 

<urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037> a fhir:MedicationRequest;
  fhir:Resource.id [ fhir:value "nhsn-iip-add101"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"nhsn-iip-add101\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;nhsn-iip-add101&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>medication</b>: metFORMIN Oral Liquid Product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1161609)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101: Jane E. Doe</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>authoredOn</b>: 2022-01-01</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner/practitioner01</a> &quot; BONE&quot;</p></div>"
  ]; # 
  fhir:MedicationRequest.status [ fhir:value "active"]; # 
  fhir:MedicationRequest.intent [ fhir:value "proposal"]; # 
  fhir:MedicationRequest.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
       fhir:Coding.code [ fhir:value "1161609" ];
       fhir:Coding.display [ fhir:value "metFORMIN Oral Liquid Product" ]     ];
     fhir:CodeableConcept.text [ fhir:value "metFORMIN Oral Liquid Product" ]
  ]; # 
  fhir:MedicationRequest.subject [
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ];
     fhir:Reference.display [ fhir:value "Jane E. Doe" ]
  ]; # 
  fhir:MedicationRequest.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/nhsn-iip-en101" ]
  ]; # 
  fhir:MedicationRequest.authoredOn [ fhir:value "2022-01-01"^^xsd:date]; # 
  fhir:MedicationRequest.requester [
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner01" ]
  ]. # 

<urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c> a fhir:MedicationRequest;
  fhir:Resource.id [ fhir:value "nhsn-iip-add101-10"]; # 
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2022-06-30T06:15:09.030+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#04ea320cd2709af0" ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"nhsn-iip-add101-10\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;nhsn-iip-add101-10&quot; Version &quot;1&quot; Updated &quot;2022-06-30 06:15:09+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #04ea320cd2709af0!</p></div><p><b>identifier</b>: id: 336609269 (use: USUAL)</p><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#inpatient)</span></p><p><b>medication</b>: metFORMIN Oral Liquid Product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1161609)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101: Amy Shaw</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>authoredOn</b>: 2022-01-15 16:50:26+0000</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner/practitioner01</a> &quot; BONE&quot;</p><p><b>recorder</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner/practitioner02</a> &quot; ZIEME&quot;</p><p><b>courseOfTherapyType</b>: Short course (acute) therapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-course-of-therapy.html\">MedicationRequest Course of Therapy Codes</a>#acute)</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code: PRN, Starting 2021-02-15 16:43:55+0000, Do Once per 1 days, Until 2021-02-22 21:32:24+0000</p><p><b>asNeeded</b>: true</p></blockquote></div>"
  ]; # 
  fhir:MedicationRequest.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.system [ fhir:value "urn:oid:1.2.840.114350.1.13.310.3.7.2.798268" ];
     fhir:Identifier.value [ fhir:value "336609269" ]
  ]; # 
  fhir:MedicationRequest.status [ fhir:value "active"]; # 
  fhir:MedicationRequest.intent [ fhir:value "proposal"]; # 
  fhir:MedicationRequest.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
       fhir:Coding.code [ fhir:value "inpatient" ];
       fhir:Coding.display [ fhir:value "Inpatient" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Inpatient" ]
  ]; # 
  fhir:MedicationRequest.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
       fhir:Coding.code [ fhir:value "1161609" ];
       fhir:Coding.display [ fhir:value "metFORMIN Oral Liquid Product" ]     ];
     fhir:CodeableConcept.text [ fhir:value "metFORMIN Oral Liquid Product" ]
  ]; # 
  fhir:MedicationRequest.subject [
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ];
     fhir:Reference.display [ fhir:value "Amy Shaw" ]
  ]; # 
  fhir:MedicationRequest.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/nhsn-iip-en101" ]
  ]; # 
  fhir:MedicationRequest.authoredOn [ fhir:value "2022-01-15T16:50:26Z"^^xsd:dateTime]; # 
  fhir:MedicationRequest.requester [
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner01" ]
  ]; # 
  fhir:MedicationRequest.recorder [
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner02" ]
  ]; # 
  fhir:MedicationRequest.courseOfTherapyType [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" ];
       fhir:Coding.code [ fhir:value "acute" ];
       fhir:Coding.display [ fhir:value "Short course (acute) therapy" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Short course (acute) therapy" ]
  ]; # 
  fhir:MedicationRequest.dosageInstruction [
     fhir:index 0;
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2021-02-15T16:43:55Z"^^xsd:dateTime ];
           fhir:Period.end [ fhir:value "2021-02-22T21:32:24Z"^^xsd:dateTime ]         ];
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
         fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
         fhir:Timing.repeat.periodUnit [ fhir:value "d" ]       ];
       fhir:Timing.code [
         fhir:CodeableConcept.text [ fhir:value "PRN" ]       ]     ];
     fhir:Dosage.asNeededBoolean [ fhir:value "true"^^xsd:boolean ];
     fhir:Dosage.doseAndRate [
       fhir:index 0;
       fhir:Dosage.doseAndRate.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ];
           fhir:Coding.code [ fhir:value "calculated" ];
           fhir:Coding.display [ fhir:value "calculated" ]         ];
         fhir:CodeableConcept.text [ fhir:value "calculated" ]       ];
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "mg" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mg" ]       ]     ], [
       fhir:index 1;
       fhir:Dosage.doseAndRate.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ];
           fhir:Coding.code [ fhir:value "ordered" ];
           fhir:Coding.display [ fhir:value "ordered" ]         ];
         fhir:CodeableConcept.text [ fhir:value "ordered" ]       ];
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "mg" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mg" ]       ]     ]
  ]. # 

<urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc> a fhir:ServiceRequest;
  fhir:Resource.id [ fhir:value "nhsn-iip-sr-sde"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"nhsn-iip-sr-sde\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest &quot;nhsn-iip-sr-sde&quot; </p></div><p><b>identifier</b>: Placer: 2345234234234</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Lipid Panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#57698-3)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter/nhsn-iip-en101</a></p><p><b>occurrence</b>: 2013-05-02 16:16:00-0700</p><p><b>reasonCode</b>: Fam hx-ischem heart dis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (ICD-9#V173)</span></p><p><b>supportingInfo</b>: <a name=\"fasting\"> </a></p><blockquote><p/><p><a name=\"fasting\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Fasting status - Reported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49541-6)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><p><b>specimen</b>: <a name=\"serum\"> </a></p><blockquote><p/><p><a name=\"serum\"> </a></p><p><b>identifier</b>: id: 20150107-0012</p><p><b>type</b>: Serum sample <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><h3>Collections</h3><table class=\"grid\"><tr><td>-</td><td><b>Collected[x]</b></td></tr><tr><td>*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote><p><b>note</b>: patient is afraid of needles</p><hr/><blockquote><p><b>Generated Narrative: Observation #fasting</b><a name=\"fasting\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Fasting status - Reported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49541-6)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Specimen #serum</b><a name=\"serum\"> </a></p><p><b>identifier</b>: id: 20150107-0012</p><p><b>type</b>: Serum sample <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><h3>Collections</h3><table class=\"grid\"><tr><td>-</td><td><b>Collected[x]</b></td></tr><tr><td>*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote></div>"
  ]; # 
  fhir:DomainResource.contained [
     a fhir:Observation;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "fasting" ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:49541-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "49541-6" ];
         fhir:Coding.display [ fhir:value "Fasting status - Reported" ]       ]     ];
     fhir:Observation.subject [
       fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]     ];
     fhir:Observation.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0136" ];
         fhir:Coding.code [ fhir:value "Y" ];
         fhir:Coding.display [ fhir:value "Yes" ]       ]     ]
  ], [
     a fhir:Specimen;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "serum" ];
     fhir:Specimen.identifier [
       fhir:index 0;
       fhir:Identifier.system [ fhir:value "http://acme.org/specimens" ];
       fhir:Identifier.value [ fhir:value "20150107-0012" ]     ];
     fhir:Specimen.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:119364003;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "119364003" ];
         fhir:Coding.display [ fhir:value "Serum sample" ]       ]     ];
     fhir:Specimen.subject [
       fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]     ];
     fhir:Specimen.collection [
       fhir:Specimen.collection.collectedDateTime [ fhir:value "2015-08-16T06:40:17Z"^^xsd:dateTime ]     ]
  ]; # 
  fhir:ServiceRequest.identifier [
     fhir:index 0;
     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 "PLAC" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Placer" ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:1.3.4.5.6.7" ];
     fhir:Identifier.value [ fhir:value "2345234234234" ]
  ]; # 
  fhir:ServiceRequest.status [ fhir:value "active"]; # 
  fhir:ServiceRequest.intent [ fhir:value "original-order"]; # 
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:57698-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "57698-3" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Lipid Panel" ]
  ]; # 
  fhir:ServiceRequest.subject [
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]
  ]; # 
  fhir:ServiceRequest.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/nhsn-iip-en101" ]
  ]; # 
  fhir:ServiceRequest.occurrenceDateTime [ fhir:value "2013-05-02T16:16:00-07:00"^^xsd:dateTime]; # 
  fhir:ServiceRequest.reasonCode [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-9" ];
       fhir:Coding.code [ fhir:value "V173" ];
       fhir:Coding.display [ fhir:value "Fam hx-ischem heart dis" ]     ]
  ]; # 
  fhir:ServiceRequest.supportingInfo [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#fasting" ];
     fhir:Reference.display [ fhir:value "Fasting status" ]
  ]; # 
  fhir:ServiceRequest.specimen [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#serum" ];
     fhir:Reference.display [ fhir:value "Serum specimen" ]
  ]; # 
  fhir:ServiceRequest.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "patient is afraid of needles" ]
  ]. # 

<urn:uuid:b7075a17-98a5-429b-a464-3da906001492> a fhir:Location;
  fhir:Resource.id [ fhir:value "nhsn-iip-loc101"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"nhsn-iip-loc101\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Location &quot;nhsn-iip-loc101&quot; </p></div><p><b>type</b>: Radiation oncology unit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#RADO)</span></p></div>"
  ]; # 
  fhir:Location.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
       fhir:Coding.code [ fhir:value "RADO" ];
       fhir:Coding.display [ fhir:value "Radiation oncology unit" ]     ]
  ]. # 

<urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69> a fhir:Condition;
  fhir:Resource.id [ fhir:value "condition04"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"condition04\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition &quot;condition04&quot; </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439401001 &quot;Diagnosis&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Patient/nhsn-iip-ip101</a></p><p><b>onset</b>: 2022-01-08</p></div>"
  ]; # 
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ]     ]
  ]; # 
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ]     ]
  ]; # 
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ], [
       fhir:index 1;
       a sct:439401001;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "439401001" ];
       fhir:Coding.display [ fhir:value "Diagnosis" ]     ]
  ]; # 
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]
  ]; # 
  fhir:Condition.onsetDateTime [ fhir:value "2022-01-08"^^xsd:date]. # 

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

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