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

: Single Indv Mrp Obs Report - TTL Representation

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

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

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "single-indv-mrp-obs-report"]; # 
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ]
  ]; # 
  fhir:Bundle.type [ fhir:value "transaction"]; # 
  fhir:Bundle.timestamp [ fhir:value "2019-12-06T06:28:44.902388Z"^^xsd:dateTime]; # 
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3" ];
     fhir:Bundle.entry.resource <urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MeasureReport" ]     ]
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3" ];
     fhir:Bundle.entry.resource <urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Coverage" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3" ];
     fhir:Bundle.entry.resource <urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3" ];
     fhir:Bundle.entry.resource <urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3" ];
     fhir:Bundle.entry.resource <urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Observation" ]     ]
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8" ];
     fhir:Bundle.entry.resource <urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Patient" ]     ]
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71" ];
     fhir:Bundle.entry.resource <urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:0000016d-235f-39b3-0000-0000000000fa" ];
     fhir:Bundle.entry.resource <urn:uuid:0000016d-235f-39b3-0000-0000000000fa>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Practitioner" ]     ]
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726" ];
     fhir:Bundle.entry.resource <urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742" ];
     fhir:Bundle.entry.resource <urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Location" ]     ]
  ]. # 

<urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "a8f9c686-17f1-11ea-a072-4ccc6a181ed3"]; # 
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"a8f9c686-17f1-11ea-a072-4ccc6a181ed3\"> </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 MeasureReport &quot;a8f9c686-17f1-11ea-a072-4ccc6a181ed3&quot; </p><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"Organization-organization02.html\">Organization/organization02</a> &quot;DaVinciHospital02&quot;</p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a></p><p><b>subject</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"#urnuuidebc3f5c4-6700-34af-8323-85621c313726\">See above (urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#mrp-group)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#urnuuida8fa3b69-17f1-11ea-bd75-4ccc6a181ed3\">See above (urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3)</a></p></div>"
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
         fhir:Coding.code [ fhir:value "proportion" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
       fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Organization/organization02" ]     ]
  ]; # 
  fhir:MeasureReport.status [ fhir:value "complete"]; # 
  fhir:MeasureReport.type [ fhir:value "individual"]; # 
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example>
  ]; # 
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8" ]
  ]; # 
  fhir:MeasureReport.date [ fhir:value "2018-09-05T16:59:52.404Z"^^xsd:dateTime]; # 
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726" ]
  ]; # 
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-08-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-09-01"^^xsd:date ]
  ]; # 
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ];
       fhir:Coding.display [ fhir:value "Increased score indicates improvement" ]     ]
  ]; # 
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org/fhir/" ];
         fhir:Coding.code [ fhir:value "mrp-group" ];
         fhir:Coding.display [ fhir:value "MRP Group" ]       ];
       fhir:CodeableConcept.text [ fhir:value "MRP Group" ]     ];
     fhir:MeasureReport.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "initial-population" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "numerator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "denominator" ];
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]     ]
  ]; # 
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3" ]
  ]. # 

<urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3> a fhir:Coverage;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-coverage.html\">QICore Coverage</a></p></div><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>subscriber</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>payor</b>: <a href=\"#urnuuida8fa3b68-17f1-11ea-93ae-4ccc6a181ed3\">See above (urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3)</a></p></div>"
  ]; # 
  fhir:Coverage.status [ fhir:value "active"]; # 
  fhir:Coverage.policyHolder [
     fhir:Reference.reference [ fhir:value "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8" ]
  ]; # 
  fhir:Coverage.subscriber [
     fhir:Reference.reference [ fhir:value "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8" ]
  ]; # 
  fhir:Coverage.subscriberId [ fhir:value "A123456789"]; # 
  fhir:Coverage.beneficiary [
     fhir:Reference.reference [ fhir:value "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8" ]
  ]; # 
  fhir:Coverage.relationship [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/subscriber-relationship" ];
       fhir:Coding.code [ fhir:value "self" ]     ]
  ]; # 
  fhir:Coverage.payor [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3" ]
  ]. # 

<urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3> a fhir:Organization;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-organization.html\">QICoreOrganization</a></p></div><p><b>identifier</b>: Tax ID number: 456789124 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html\">Organization type</a>#other)</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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 "456789124" ];
     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 "other" ];
       fhir:Coding.display [ fhir:value "Other" ]     ]
  ]; # 
  fhir:Organization.name [ fhir:value "DV Quality Measure Data Reporter"]; # 
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 616-555-1212" ]
  ]; # 
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "160 Glen Eagles Road";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Grand Rapids" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "49503" ];
     fhir:Address.country [ fhir:value "USA" ]
  ]. # 

<urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3> a fhir:Organization;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-organization.html\">QICoreOrganization</a></p></div><p><b>identifier</b>: Tax ID number: 456789125 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Insurance Company <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html\">Organization type</a>#ins)</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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 "456789125" ];
     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 "ins" ];
       fhir:Coding.display [ fhir:value "Insurance Company" ]     ]
  ]; # 
  fhir:Organization.name [ fhir:value "DVPayer04"]; # 
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 616-555-1212" ]
  ]; # 
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "160 Glen Eagles Road";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Grand Rapids" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "49503" ];
     fhir:Address.country [ fhir:value "USA" ]
  ]. # 

<urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3> a fhir:Observation;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-observation.html\">QICore Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (observation-category#measure)</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#1111F)</span></p><p><b>subject</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>encounter</b>: <a href=\"#urnuuid1f33ae07-0891-4c2a-a376-fcd18800cb71\">See above (urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71)</a></p><p><b>effective</b>: 2018-09-29 14:15:04+0000</p><p><b>issued</b>: Sep 29, 2018 2:15:04 PM</p><p><b>performer</b>: <a href=\"#urnuuid0000016d-235f-39b3-0000-0000000000fa\">See above (urn:uuid:0000016d-235f-39b3-0000-0000000000fa)</a></p><p><b>value</b>: true</p></div>"
  ]; # 
  fhir:Observation.status [ fhir:value "final"]; # 
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "measure" ];
       fhir:Coding.display [ fhir:value "Measure" ]     ]
  ]; # 
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "1111F" ];
       fhir:Coding.display [ fhir:value "Medication Reconciliation" ]     ]
  ]; # 
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8" ]
  ]; # 
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71" ]
  ]; # 
  fhir:Observation.effectiveDateTime [ fhir:value "2018-09-29T14:15:04.424Z"^^xsd:dateTime]; # 
  fhir:Observation.issued [ fhir:value "2018-09-29T14:15:04.424Z"^^xsd:dateTime]; # 
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:0000016d-235f-39b3-0000-0000000000fa" ]
  ]; # 
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean]. # 

<urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8> a fhir:Patient;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     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 "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</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>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = 'Not Hispanic or Latino', stated as 'Not Hispanic or Latino')</p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>Mother's Maiden Name</b>: Freda902 Tillman293</p><p><b>US Core Birth Sex Extension</b>: F</p><p><b>Birth Place</b>: Faro Algarve PT </p><p><b>identifier</b>: id: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number: 999-61-8566, Driver's license Number: S99966861, Passport Number: X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M &quot;Married&quot;)</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Portuguese <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#pt)</span></td></tr></table></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 "text" ];
       fhir:Extension.valueString [ fhir:value "White" ]     ];
     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 "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName" ];
     fhir:Extension.valueString [ fhir:value "Freda902 Tillman293" ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "F" ]
  ], [
     fhir:index 4;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" ];
     fhir:Extension.valueAddress [
       fhir:Address.city [ fhir:value "Faro" ];
       fhir:Address.state [ fhir:value "Algarve" ];
       fhir:Address.country [ fhir:value "PT" ]     ]
  ]; # 
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://github.com/synthetichealth/synthea" ];
     fhir:Identifier.value [ fhir:value "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65" ]
  ], [
     fhir:index 1;
     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:CodeableConcept.text [ fhir:value "Medical Record Number" ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
     fhir:Identifier.value [ fhir:value "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65" ]
  ], [
     fhir:index 2;
     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 "SS" ];
         fhir:Coding.display [ fhir:value "Social Security Number" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Social Security Number" ]     ];
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-ssn" ];
     fhir:Identifier.value [ fhir:value "999-61-8566" ]
  ], [
     fhir:index 3;
     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 "DL" ];
         fhir:Coding.display [ fhir:value "Driver's license Number" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Driver's license Number" ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.3.25" ];
     fhir:Identifier.value [ fhir:value "S99966861" ]
  ], [
     fhir:index 4;
     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 "PPN" ];
         fhir:Coding.display [ fhir:value "Passport Number" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Passport Number" ]     ];
     fhir:Identifier.system [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber" ];
     fhir:Identifier.value [ fhir:value "X52208740X" ]
  ]; # 
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "McDermott739" ];
     fhir:HumanName.given [
       fhir:value "Debbie941";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Mrs.";
       fhir:index 0     ]
  ], [
     fhir:index 1;
     fhir:HumanName.use [ fhir:value "maiden" ];
     fhir:HumanName.family [ fhir:value "Funk324" ];
     fhir:HumanName.given [
       fhir:value "Debbie941";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Mrs.";
       fhir:index 0     ]
  ]; # 
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "555-755-4280" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ]; # 
  fhir:Patient.gender [ fhir:value "female"]; # 
  fhir:Patient.birthDate [ fhir:value "1961-02-26"^^xsd:date]; # 
  fhir:Patient.address [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "latitude" ];
         fhir:Extension.valueDecimal [ fhir:value "42.21379047108309"^^xsd:decimal ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "longitude" ];
         fhir:Extension.valueDecimal [ fhir:value "-72.73951315911818"^^xsd:decimal ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/geolocation" ]     ];
     fhir:Address.line [
       fhir:value "903 Wolff Ville";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Westfield" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01085" ];
     fhir:Address.country [ fhir:value "US" ]
  ]; # 
  fhir:Patient.maritalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ];
       fhir:Coding.code [ fhir:value "M" ];
       fhir:Coding.display [ fhir:value "Married" ]     ];
     fhir:CodeableConcept.text [ fhir:value "M" ]
  ]; # 
  fhir:Patient.multipleBirthBoolean [ fhir:value "false"^^xsd:boolean]; # 
  fhir:Patient.communication [
     fhir:index 0;
     fhir:Patient.communication.language [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
         fhir:Coding.code [ fhir:value "pt" ];
         fhir:Coding.display [ fhir:value "Portuguese" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Portuguese" ]     ]
  ]. # 

<urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71> a fhir:Encounter;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b></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\">Information Source: http://example.org/fhir/server!</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>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99221)</span></p><p><b>subject</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8: Mrs. Debbie941 McDermott739)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"#urnuuid0000016d-235f-39b3-0000-0000000000fa\">See above (urn:uuid:0000016d-235f-39b3-0000-0000000000fa: Dr. Manuel446 Granados71)</a></td></tr></table><p><b>period</b>: 1976-06-20 10:41:49-0700 --&gt; 2018-04-29 10:41:49-0700</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"#urnuuid8938e769-59f7-40ff-a541-50b0bfcd6742\">See above (urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742: NOBLE HOSPITAL)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"#urnuuidebc3f5c4-6700-34af-8323-85621c313726\">See above (urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726: NOBLE HOSPITAL)</a></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: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 "99221" ];
       fhir:Coding.display [ fhir:value "Initial hospital care" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Initial hospital care" ]
  ]; # 
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8" ];
     fhir:Reference.display [ fhir:value "Mrs. Debbie941 McDermott739" ]
  ]; # 
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "urn:uuid:0000016d-235f-39b3-0000-0000000000fa" ];
       fhir:Reference.display [ fhir:value "Dr. Manuel446 Granados71" ]     ]
  ]; # 
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "1976-06-20T10:41:49-07:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2018-04-29T10:41:49-07:00"^^xsd:dateTime ]
  ]; # 
  fhir:Encounter.location [
     fhir:index 0;
     fhir:Encounter.location.location [
       fhir:Reference.reference [ fhir:value "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742" ];
       fhir:Reference.display [ fhir:value "NOBLE HOSPITAL" ]     ]
  ]; # 
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726" ];
     fhir:Reference.display [ fhir:value "NOBLE HOSPITAL" ]
  ]. # 

<urn:uuid:0000016d-235f-39b3-0000-0000000000fa> a fhir:Practitioner;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: id: 250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: <a href=\"mailto:Manuel446.Granados71@example.com\">Manuel446.Granados71@example.com</a></p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>"
  ]; # 
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "250" ]
  ]; # 
  fhir:Practitioner.active [ fhir:value "true"^^xsd:boolean]; # 
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Granados71" ];
     fhir:HumanName.given [
       fhir:value "Manuel446";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr.";
       fhir:index 0     ]
  ]; # 
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ];
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "Manuel446.Granados71@example.com" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ]; # 
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "115 WEST SILVER STREET";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "WESTFIELD" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01085" ];
     fhir:Address.country [ fhir:value "US" ]
  ]; # 
  fhir:Practitioner.gender [ fhir:value "male"]. # 

<urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726> a fhir:Organization;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></p></div><p><b>identifier</b>: Provider number: 9999999999 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>"
  ]; # 
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "9999999999" ]
  ]; # 
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean]; # 
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
       fhir:Coding.code [ fhir:value "prov" ];
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Healthcare Provider" ]
  ]; # 
  fhir:Organization.name [ fhir:value "NOBLE HOSPITAL"]; # 
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "4135682811" ]
  ]; # 
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "115 WEST SILVER STREET";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "WESTFIELD" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01085" ];
     fhir:Address.country [ fhir:value "US" ]
  ]. # 

<urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742> a fhir:Location;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location>     ]
  ]; # 
  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></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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-location.html\">QICoreLocation</a></p></div><p><b>identifier</b>: id: NOBLE HOSPITAL (use: TEMP)</p><p><b>status</b>: active</p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><h3>Positions</h3><table class=\"grid\"><tr><td>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"#urnuuidebc3f5c4-6700-34af-8323-85621c313726\">See above (urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726: NOBLE HOSPITAL)</a></p></div>"
  ]; # 
  fhir:Location.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "temp" ];
     fhir:Identifier.system [ fhir:value "http://exampleoflocation.com" ];
     fhir:Identifier.value [ fhir:value "NOBLE HOSPITAL" ]
  ]; # 
  fhir:Location.status [ fhir:value "active"]; # 
  fhir:Location.name [ fhir:value "NOBLE HOSPITAL"]; # 
  fhir:Location.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "4135682811" ]
  ]; # 
  fhir:Location.address [
     fhir:Address.line [
       fhir:value "115 WEST SILVER STREET";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "WESTFIELD" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01085" ];
     fhir:Address.country [ fhir:value "US" ]
  ]; # 
  fhir:Location.position [
     fhir:Location.position.longitude [ fhir:value "-72.755911"^^xsd:decimal ];
     fhir:Location.position.latitude [ fhir:value "42.138838"^^xsd:decimal ]
  ]; # 
  fhir:Location.managingOrganization [
     fhir:Reference.reference [ fhir:value "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726" ];
     fhir:Reference.display [ fhir:value "NOBLE HOSPITAL" ]
  ]. # 

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

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