Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Gaps Multiple Parameters Individual MeasureReports02 - TTL Representation

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

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

 a fhir:Parameters ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "multiple-gaps-indv-report02"] ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "return" ] ;
    ( fhir:Parameters.parameter.resource [
a fhir:Bundle ;
fhir:id [ fhir:v "single-gaps-closed-indv-report02" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm>         ] )       ] ;
fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:7396eb14-8f5c-4fe1-b023-1c6838152136" ]       ] ;
fhir:type [ fhir:v "document" ] ;
fhir:timestamp [ fhir:v "2020-07-07T13:08:53+00:00"^^xsd:dateTime ] ;
      ( fhir:entry [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Composition/gaps-composition03"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Composition/gaps-composition03> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue05"^^xsd:anyURI ] ;
        ( fhir:_resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue05> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Encounter/gaps-encounter03"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Encounter/gaps-encounter03> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Procedure/gaps-procedure02"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Procedure/gaps-procedure02> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Patient/gaps-patient01"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Patient/gaps-patient01> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> )       ] )     ] )
  ] [
fhir:name [ fhir:v "return" ] ;
    ( fhir:Parameters.parameter.resource [
a fhir:Bundle ;
fhir:id [ fhir:v "single-gaps-closed-indv-report01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm>         ] )       ] ;
fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:80c493d0-e3c7-4e63-81fe-81fb3b16b9ab" ]       ] ;
fhir:type [ fhir:v "document" ] ;
fhir:timestamp [ fhir:v "2020-07-07T13:08:53+00:00"^^xsd:dateTime ] ;
      ( fhir:entry [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Composition/gaps-composition02"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Composition/gaps-composition02> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03"^^xsd:anyURI ] ;
        ( fhir:_resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Encounter/gaps-encounter02"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Encounter/gaps-encounter02> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Procedure/gaps-procedure01"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Procedure/gaps-procedure01> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Patient/gaps-patient02"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Patient/gaps-patient02> )       ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> )       ] )     ] )
  ] ) . # 

<http://example.org/fhir/gaps/Composition/gaps-composition03> a fhir:Composition ;
  fhir:id [ fhir:v "gaps-composition03"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm>     ] )
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:96315-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "96315-7" ] ;
fhir:display [ fhir:v "Gaps in care report" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2020-07-07T13:08:53+00:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]
  ] ) ; # 
  fhir:title [ fhir:v "Care Gap Report for patient gaps-patient01"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Colorectal Cancer Screening" ] ;
fhir:focus [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport04" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "DetectedIssue/gaps-detectedissue05" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue05> a fhir:DetectedIssue ;
  fhir:id [ fhir:v "gaps-detectedissue05"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm>     ] )
  ] ; # 
  fhir:modifierExtension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CAREGAP" ] ;
fhir:display [ fhir:v "Caregap" ]     ] )
  ] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:evidence ( [
    ( fhir:detail [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport04" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04> a fhir:MeasureReport ;
  fhir:id [ fhir:v "gaps-indv-measurereport04"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ] )
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.3.2074.1"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0015HQN9BD3304E" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "individual"] ; # 
  fhir:measure [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2020-07-07T13:08:52+00:00"^^xsd:dateTime] ; # 
  fhir:reporter [
fhir:reference [ fhir:v "Organization/organization01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2020-12-31"^^xsd:date ]
  ] ; # 
  fhir:improvementNotation [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "increase" ]     ] )
  ] ; # 
  fhir:group ( [
fhir:id [ fhir:v "group-exm130" ] ;
    ( fhir:population [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ] ;
fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ] ;
fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ] ;
fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator-exclusion" ] ;
fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
fhir:count [ fhir:v "0"^^xsd:integer ]     ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "1.0"^^xsd:decimal ]     ]
  ] ) ; # 
  fhir:evaluatedResource ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/gaps-encounter03" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numerator" ]     ] ) ;
fhir:reference [ fhir:v "Procedure/gaps-procedure02" ]
  ] ) . # 

<http://example.org/fhir/gaps/Encounter/gaps-encounter03> a fhir:Encounter ;
  fhir:id [ fhir:v "gaps-encounter03"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ] )
  ] ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "ambulatory" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "99202" ] ;
fhir:display [ fhir:v "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter." ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-07-06T07:07:00-00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2020-07-06T10:11:00-00:00"^^xsd:dateTime ]
  ] . # 

<http://example.org/fhir/gaps/Procedure/gaps-procedure02> a fhir:Procedure ;
  fhir:id [ fhir:v "gaps-procedure02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>     ] )
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-07-06T09:00:00-00:00"^^xsd:dateTime ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "45384" ] ;
fhir:display [ fhir:v "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:performed [
a fhir:Period ;
fhir:start [ fhir:v "2020-07-06T08:00:00-00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2020-07-06T09:00:00-00:00"^^xsd:dateTime ]
  ] . # 

<http://example.org/fhir/gaps/Patient/gaps-patient01> a fhir:Patient ;
  fhir:id [ fhir:v "gaps-patient01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ] )
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2028-9" ] ;
fhir:display [ fhir:v "Asian" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Asian" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2135-2" ] ;
fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Hispanic or Latino" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical Record Number" ]       ] )     ] ;
fhir:system [ fhir:v "http://hospital.smarthealthit.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "999995992" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Susan" ] ;
    ( fhir:given [ fhir:v "Parker" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "1965-01-01"^^xsd:date] . # 

<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization, fhir:Organization ;
  fhir:id [ fhir:v "gaps-organization-reportingvendor"], [ fhir:v "gaps-organization-reportingvendor"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>     ] )
  ], [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>     ] )
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAX" ] ;
fhir:display [ fhir:v "Tax ID number" ]       ] )     ] ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.4.4"^^xsd:anyURI ] ;
fhir:value [ fhir:v "123446789" ] ;
fhir:assigner [
fhir:display [ fhir:v "www.irs.gov" ]     ]
  ] [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAX" ] ;
fhir:display [ fhir:v "Tax ID number" ]       ] )     ] ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.4.4"^^xsd:anyURI ] ;
fhir:value [ fhir:v "123446789" ] ;
fhir:assigner [
fhir:display [ fhir:v "www.irs.gov" ]     ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean], [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pay" ] ;
fhir:display [ fhir:v "Payer" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pay" ] ;
fhir:display [ fhir:v "Payer" ]     ] )
  ] ) ; # 
  fhir:name [ fhir:v "GapsReportingVendor01"], [ fhir:v "GapsReportingVendor01"] ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(+1) 401-545-1212" ]
  ] [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(+1) 401-545-1212" ]
  ] ) ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "13 Drive Street" ] ) ;
fhir:city [ fhir:v "Cityplace" ] ;
fhir:state [ fhir:v "MA" ] ;
fhir:postalCode [ fhir:v "01101" ] ;
fhir:country [ fhir:v "USA" ]
  ] [
    ( fhir:line [ fhir:v "13 Drive Street" ] ) ;
fhir:city [ fhir:v "Cityplace" ] ;
fhir:state [ fhir:v "MA" ] ;
fhir:postalCode [ fhir:v "01101" ] ;
fhir:country [ fhir:v "USA" ]
  ] ) . # 

<http://example.org/fhir/gaps/Composition/gaps-composition02> a fhir:Composition ;
  fhir:id [ fhir:v "gaps-composition02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm>     ] )
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:96315-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "96315-7" ] ;
fhir:display [ fhir:v "Gaps in care report" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient02" ]
  ] ; # 
  fhir:date [ fhir:v "2020-07-07T13:08:53+00:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]
  ] ) ; # 
  fhir:title [ fhir:v "Care Gap Report for patient gaps-patient02"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Colorectal Cancer Screening" ] ;
fhir:focus [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport03" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "DetectedIssue/gaps-detectedissue03" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03> a fhir:DetectedIssue ;
  fhir:id [ fhir:v "gaps-detectedissue03"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm>     ] )
  ] ; # 
  fhir:modifierExtension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CAREGAP" ] ;
fhir:display [ fhir:v "Caregap" ]     ] )
  ] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/gaps-patient02" ]
  ] ; # 
  fhir:evidence ( [
    ( fhir:detail [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport03" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03> a fhir:MeasureReport ;
  fhir:id [ fhir:v "gaps-indv-measurereport03"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ] )
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.3.2074.1"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0015HQN9BD3304E" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "individual"] ; # 
  fhir:measure [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient02" ]
  ] ; # 
  fhir:date [ fhir:v "2020-07-07T13:08:53+00:00"^^xsd:dateTime] ; # 
  fhir:reporter [
fhir:reference [ fhir:v "Organization/organization01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2020-12-31"^^xsd:date ]
  ] ; # 
  fhir:improvementNotation [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "increase" ]     ] )
  ] ; # 
  fhir:group ( [
fhir:id [ fhir:v "group-exm130" ] ;
    ( fhir:population [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ] ;
fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ] ;
fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ] ;
fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator-exclusion" ] ;
fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
fhir:count [ fhir:v "0"^^xsd:integer ]     ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "1.0"^^xsd:decimal ]     ]
  ] ) ; # 
  fhir:evaluatedResource ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/gaps-encounter02" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Patient/gaps-patient02" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numerator" ]     ] ) ;
fhir:reference [ fhir:v "Procedure/gaps-procedure01" ]
  ] ) . # 

<http://example.org/fhir/gaps/Encounter/gaps-encounter02> a fhir:Encounter ;
  fhir:id [ fhir:v "gaps-encounter02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ] )
  ] ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "ambulatory" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "99202" ] ;
fhir:display [ fhir:v "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter." ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient02" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-03-05T07:00:00-00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2020-03-05T10:00:00-00:00"^^xsd:dateTime ]
  ] . # 

<http://example.org/fhir/gaps/Procedure/gaps-procedure01> a fhir:Procedure ;
  fhir:id [ fhir:v "gaps-procedure01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>     ] )
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2018-09-10T09:00:00-00:00"^^xsd:dateTime ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "45384" ] ;
fhir:display [ fhir:v "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient02" ]
  ] ; # 
  fhir:performed [
a fhir:Period ;
fhir:start [ fhir:v "2018-09-10T08:00:00-00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2018-09-10T09:00:00-00:00"^^xsd:dateTime ]
  ] . # 

<http://example.org/fhir/gaps/Patient/gaps-patient02> a fhir:Patient ;
  fhir:id [ fhir:v "gaps-patient02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ] )
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2028-9" ] ;
fhir:display [ fhir:v "Asian" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Asian" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2135-2" ] ;
fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Hispanic or Latino" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical Record Number" ]       ] )     ] ;
fhir:system [ fhir:v "http://hospital.smarthealthit.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "999996992" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Ludwich" ] ;
    ( fhir:given [ fhir:v "Thomas" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:birthDate [ fhir:v "1957-01-01"^^xsd:date] . #