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 Vte Report Option 7 - TTL Representation

Raw ttl | Download


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

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

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "single-indv-vte-report-option7"]; # 
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ]
  ]; # 
  fhir:Bundle.type [ fhir:value "transaction"]; # 
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4" ];
     fhir:Bundle.entry.resource <urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4>;
     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:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5" ];
     fhir:Bundle.entry.resource <urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6" ];
     fhir:Bundle.entry.resource <urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Patient" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7" ];
     fhir:Bundle.entry.resource <urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8" ];
     fhir:Bundle.entry.resource <urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Location" ]     ]
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003" ];
     fhir:Bundle.entry.resource <urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Practitioner" ]     ]
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9" ];
     fhir:Bundle.entry.resource <urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MedicationRequest" ]     ]
  ]. # 

<urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"]; # 
  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=\"b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4\"> </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;b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4&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>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/STU3/Measure-measure-vte-1-FHIR.html\">Venous Thromboembolism Prophylaxis</a></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5)</a></p><p><b>period</b>: 2018-12-31 --&gt; 2019-01-01</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><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><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <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-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote></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:MeasureReport.status [ fhir:value "complete"]; # 
  fhir:MeasureReport.type [ fhir:value "individual"]; # 
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-FHIR";
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-FHIR>
  ]; # 
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6" ]
  ]; # 
  fhir:MeasureReport.date [ fhir:value "2019-03-14"^^xsd:date]; # 
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5" ]
  ]; # 
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-12-31"^^xsd:date ];
     fhir:Period.end [ fhir:value "2019-01-01"^^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.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"^^xsd:decimal ]     ]
  ]. # 

<urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5> 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: 123456789 (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>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
  ]; # 
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "TAX" ];
         fhir:Coding.display [ fhir:value "Tax ID number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.4" ];
     fhir:Identifier.value [ fhir:value "123456789" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.irs.gov" ]     ]
  ]; # 
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean]; # 
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
       fhir:Coding.code [ fhir:value "prov" ];
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]     ]
  ]; # 
  fhir:Organization.name [ fhir:value "DaVinciHospital01"]; # 
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 401-555-1212" ]
  ]; # 
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "73 Lakewood Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Warwick" ];
     fhir:Address.state [ fhir:value "RI" ];
     fhir:Address.postalCode [ fhir:value "02886" ];
     fhir:Address.country [ fhir:value "USA" ]
  ]. # 

<urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6> 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/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></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-patient.html\">QICorePatient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><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>identifier</b>: Medical record number: 67890 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: Married <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)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English (Region=United States) <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>#en-US)</span></td><td>true</td></tr></table></div>"
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "F" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2106-3" ];
         fhir:Coding.display [ fhir:value "White" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "White" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ]; # 
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ];
         fhir:Coding.display [ fhir:value "Medical record number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.davinci.org" ];
     fhir:Identifier.value [ fhir:value "67890" ]
  ]; # 
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean]; # 
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "Webster" ];
     fhir:HumanName.given [
       fhir:value "Thelma";
       fhir:index 0     ]
  ]; # 
  fhir:Patient.gender [ fhir:value "female"]; # 
  fhir:Patient.birthDate [ fhir:value "1948-04-28"^^xsd:date]; # 
  fhir:Patient.deceasedBoolean [ fhir:value "false"^^xsd:boolean]; # 
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.line [
       fhir:value "7496 Beaver Ridge Ave";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Thornton" ];
     fhir:Address.state [ fhir:value "NJ" ];
     fhir:Address.postalCode [ fhir:value "07003" ];
     fhir:Address.country [ fhir:value "USA" ]
  ]; # 
  fhir:Patient.maritalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ];
       fhir:Coding.code [ fhir:value "M" ];
       fhir:Coding.display [ fhir:value "Married" ]     ]
  ]; # 
  fhir:Patient.communication [
     fhir:index 0;
     fhir:Patient.communication.language [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
         fhir:Coding.code [ fhir:value "en-US" ];
         fhir:Coding.display [ fhir:value "English (Region=United States)" ]       ]     ];
     fhir:Patient.communication.preferred [ fhir:value "true"^^xsd:boolean ]
  ]. # 

<urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7> 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>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Hospital admission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32485007)</span></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>period</b>: 2018-07-19 06:10:27+0000 --&gt; 2018-07-19 06:10:27+0000</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8: Mother Charity Hospital)</a></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:32485007;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "32485007" ];
       fhir:Coding.display [ fhir:value "Hospital admission" ]     ]
  ]; # 
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6" ]
  ]; # 
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2018-07-19T06:10:27Z"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2018-07-19T06:10:27Z"^^xsd:dateTime ]
  ]; # 
  fhir:Encounter.location [
     fhir:index 0;
     fhir:Encounter.location.location [
       fhir:Reference.reference [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8" ];
       fhir:Reference.display [ fhir:value "Mother Charity Hospital" ]     ]
  ]. # 

<urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8> a fhir:Location;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ]
  ]; # 
  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></div><p><b>identifier</b>: id: 1.2.3.4.181 (use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>name</b>: Mother Charity Hospital</p><p><b>mode</b>: instance</p><p><b>telecom</b>: ph: (313) 555-5671(WORK)</p><p><b>address</b>: 869 W Oak Street Royal Oak MI 48073 (WORK)</p><p><b>physicalType</b>: Building <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-location-physical-type.html\">Location type</a>#bu)</span></p></div>"
  ]; # 
  fhir:Location.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://www.hl7.org/oid/" ];
     fhir:Identifier.value [ fhir:value "1.2.3.4.181" ]
  ]; # 
  fhir:Location.status [ fhir:value "active"]; # 
  fhir:Location.name [ fhir:value "Mother Charity Hospital"]; # 
  fhir:Location.mode [ fhir:value "instance"]; # 
  fhir:Location.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(313) 555-5671" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ]; # 
  fhir:Location.address [
     fhir:Address.use [ fhir:value "work" ];
     fhir:Address.type [ fhir:value "physical" ];
     fhir:Address.line [
       fhir:value "869 W Oak Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Royal Oak" ];
     fhir:Address.district [ fhir:value "Oakland County" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "48073" ]
  ]; # 
  fhir:Location.physicalType [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/location-physical-type" ];
       fhir:Coding.code [ fhir:value "bu" ];
       fhir:Coding.display [ fhir:value "Building" ]     ]
  ]. # 

<urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003> 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/qicore/StructureDefinition/qicore-practitioner";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-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/qi-core/2022Sep/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number: 345678912 (use: OFFICIAL), Provider number: 082583 (use: SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
  ]; # 
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "345678912" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.cms.gov" ]     ]
  ], [
     fhir:index 1;
     fhir:Identifier.use [ fhir:value "secondary" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.336" ];
     fhir:Identifier.value [ fhir:value "082583" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.cms.gov" ]     ]
  ]; # 
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Bone" ];
     fhir:HumanName.given [
       fhir:value "Ronald";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr";
       fhir:index 0     ]
  ]; # 
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.line [
       fhir:value "1003 Healthcare Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Amherst" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01002" ]
  ]. # 

<urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9> a fhir:MedicationRequest;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested>     ]
  ]; # 
  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></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\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-mednotrequested.html\">QICore Medication Not Requested</a></p></div><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>doNotPerform</b>: true</p><p><b>medication</b>: Warfarin Value Set <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#48603004 &quot;Product containing warfarin (medicinal product)&quot;)</span></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>encounter</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7)</a></p><p><b>authoredOn</b>: 2019-12-05 06:10:27+0000</p><p><b>requester</b>: <a href=\"#urnuuidb539747a-ca48-11ea-87d0-0242ac130003\">See above (urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003)</a></p><p><b>reasonCode</b>: Drug declined by patient (situation) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#182895007)</span></p></div>"
  ]; # 
  fhir:MedicationRequest.status [ fhir:value "completed"]; # 
  fhir:MedicationRequest.intent [ fhir:value "order"]; # 
  fhir:MedicationRequest.doNotPerform [ fhir:value "true"^^xsd:boolean]; # 
  fhir:MedicationRequest.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:48603004;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "48603004" ];
       fhir:Coding.display [ fhir:value "Product containing warfarin (medicinal product)" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Warfarin Value Set" ]
  ]; # 
  fhir:MedicationRequest.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6" ]
  ]; # 
  fhir:MedicationRequest.encounter [
     fhir:Reference.reference [ fhir:value "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7" ]
  ]; # 
  fhir:MedicationRequest.authoredOn [ fhir:value "2019-12-05T06:10:27Z"^^xsd:dateTime]; # 
  fhir:MedicationRequest.requester [
     fhir:Reference.reference [ fhir:value "urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003" ]
  ]; # 
  fhir:MedicationRequest.reasonCode [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:182895007;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "182895007" ];
       fhir:Coding.display [ fhir:value "Drug declined by patient (situation)" ]     ]
  ]. # 

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

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