Data Exchange For Quality Measures Implementation Guide
3.1.0 - STU 3.1.0
US
Data Exchange For Quality Measures Implementation Guide
3.1.0 - STU 3.1.0
US
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.1.0: STU 3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "single-gaps-open-indv-report01"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm> ]
];
fhir:Bundle.identifier [
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
fhir:Identifier.value [ fhir:value "urn:uuid:77f43ef5-8c60-4222-ae58-36969063a093" ]
];
fhir:Bundle.type [ fhir:value "document"];
fhir:Bundle.timestamp [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Composition/gaps-composition01" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Composition/gaps-composition01>
], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01>
], [
fhir:index 2;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02>
], [
fhir:index 3;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01>
], [
fhir:index 4;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02>
], [
fhir:index 5;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Encounter/gaps-encounter01" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Encounter/gaps-encounter01>
], [
fhir:index 6;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Patient/gaps-patient01" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Patient/gaps-patient01>
], [
fhir:index 7;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor>
].
<http://example.org/fhir/gaps/Composition/gaps-composition01> a fhir:Composition;
fhir:Resource.id [ fhir:value "gaps-composition01"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"gaps-composition01\"> </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 Composition "gaps-composition01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-composition-deqm.html\">DEQM Gaps In Care Composition Profile</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Gaps in care report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#96315-7)</span></p><p><b>date</b>: 2020-06-30 01:08:53+0000</p><p><b>author</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient01</p></div>"
];
fhir:Composition.status [ fhir:value "final"];
fhir:Composition.type [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:96315-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "96315-7" ];
fhir:Coding.display [ fhir:value "Gaps in care report" ] ]
];
fhir:Composition.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
];
fhir:Composition.date [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime];
fhir:Composition.author [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]
];
fhir:Composition.title [ fhir:value "Care Gap Report for patient gaps-patient01"];
fhir:Composition.section [
fhir:index 0;
fhir:Composition.section.title [ fhir:value "Colorectal Cancer Screening" ];
fhir:Composition.section.focus [
fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport01" ] ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "DetectedIssue/gaps-detectedissue01" ] ]
], [
fhir:index 1;
fhir:Composition.section.title [ fhir:value "Cervical Cancer Screening" ];
fhir:Composition.section.focus [
fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport02" ] ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "DetectedIssue/gaps-detectedissue02" ] ]
].
<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01> a fhir:MeasureReport;
fhir:Resource.id [ fhir:value "gaps-indv-measurereport01"];
fhir:Resource.meta [
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=\"gaps-indv-measurereport01\"> </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 "gaps-indv-measurereport01" </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/4.0.0/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_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-exm130-example.html\">Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>date</b>: 2020-06-30 01:08:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> "DaVinciHospital01"</p><p><b>period</b>: 2020-01-01 --> 2020-12-31</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/4.0.0/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/4.0.0/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/4.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 0</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/4.0.0/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/4.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Encounter_gaps-encounter01\">See above (Encounter/gaps-encounter01)</a></li><li><a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></li></ul></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
fhir:Coding.code [ fhir:value "proportion" ] ] ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
fhir:Extension.valueIdentifier [
fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ] ]
];
fhir:MeasureReport.status [ fhir:value "complete"];
fhir:MeasureReport.type [ fhir:value "individual"];
fhir:MeasureReport.measure [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example";
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
];
fhir:MeasureReport.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
];
fhir:MeasureReport.date [ fhir:value "2020-06-30T13:08:52+00:00"^^xsd:dateTime];
fhir:MeasureReport.reporter [
fhir:Reference.reference [ fhir:value "Organization/organization01" ]
];
fhir:MeasureReport.period [
fhir:Period.start [ fhir:value "2020-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2020-12-31"^^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:MeasureReport.group [
fhir:index 0;
fhir:Element.id [ fhir:value "group-exm130" ];
fhir:MeasureReport.group.population [
fhir:index 0;
fhir:MeasureReport.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "initial-population" ];
fhir:Coding.display [ fhir:value "Initial Population" ] ] ];
fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ] ], [
fhir:index 1;
fhir:MeasureReport.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "numerator" ];
fhir:Coding.display [ fhir:value "Numerator" ] ] ];
fhir:MeasureReport.group.population.count [ fhir:value "0"^^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 "0.0"^^xsd:decimal ] ]
];
fhir:MeasureReport.evaluatedResource [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "initial-population" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "denominator" ] ];
fhir:Reference.reference [ fhir:value "Encounter/gaps-encounter01" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "initial-population" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "denominator" ] ];
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
].
<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02> a fhir:MeasureReport;
fhir:Resource.id [ fhir:value "gaps-indv-measurereport02"];
fhir:Resource.meta [
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=\"gaps-indv-measurereport02\"> </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 "gaps-indv-measurereport02" </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/4.0.0/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_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-exm124-example.html\">Cervical Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>date</b>: 2020-07-02 01:08:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> "DaVinciHospital01"</p><p><b>period</b>: 2020-01-01 --> 2020-12-31</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/4.0.0/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/4.0.0/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/4.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 0</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/4.0.0/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/4.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Encounter_gaps-encounter01\">See above (Encounter/gaps-encounter01)</a></li><li><a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></li></ul></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
fhir:Coding.code [ fhir:value "proportion" ] ] ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
fhir:Extension.valueIdentifier [
fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ] ]
];
fhir:MeasureReport.status [ fhir:value "complete"];
fhir:MeasureReport.type [ fhir:value "individual"];
fhir:MeasureReport.measure [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example";
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example>
];
fhir:MeasureReport.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
];
fhir:MeasureReport.date [ fhir:value "2020-07-02T13:08:52+00:00"^^xsd:dateTime];
fhir:MeasureReport.reporter [
fhir:Reference.reference [ fhir:value "Organization/organization01" ]
];
fhir:MeasureReport.period [
fhir:Period.start [ fhir:value "2020-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2020-12-31"^^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:MeasureReport.group [
fhir:index 0;
fhir:Element.id [ fhir:value "group-exm124" ];
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 "0"^^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 "0.0"^^xsd:decimal ] ]
];
fhir:MeasureReport.evaluatedResource [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "initial-population" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "denominator" ] ];
fhir:Reference.reference [ fhir:value "Encounter/gaps-encounter01" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "initial-population" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "denominator" ] ];
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
].
<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01> a fhir:DetectedIssue;
fhir:Resource.id [ fhir:value "gaps-detectedissue01"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DetectedIssue</b><a name=\"gaps-detectedissue01\"> </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 DetectedIssue "gaps-detectedissue01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-detectedissue-deqm.html\">DEQM Gaps In Care Detected Issue Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Caregap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#CAREGAP)</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href=\"#MeasureReport_gaps-indv-measurereport01\">See above (MeasureReport/gaps-indv-measurereport01)</a></td></tr></table></div>"
];
fhir:DomainResource.modifierExtension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status" ];
fhir:Coding.code [ fhir:value "closed-gap" ] ] ]
];
fhir:DetectedIssue.status [ fhir:value "final"];
fhir:DetectedIssue.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "CAREGAP" ];
fhir:Coding.display [ fhir:value "Caregap" ] ]
];
fhir:DetectedIssue.patient [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
];
fhir:DetectedIssue.evidence [
fhir:index 0;
fhir:DetectedIssue.evidence.detail [
fhir:index 0;
fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport01" ] ]
].
<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02> a fhir:DetectedIssue;
fhir:Resource.id [ fhir:value "gaps-detectedissue02"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DetectedIssue</b><a name=\"gaps-detectedissue02\"> </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 DetectedIssue "gaps-detectedissue02" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-detectedissue-deqm.html\">DEQM Gaps In Care Detected Issue Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Caregap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#CAREGAP)</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href=\"#MeasureReport_gaps-indv-measurereport02\">See above (MeasureReport/gaps-indv-measurereport02)</a></td></tr></table></div>"
];
fhir:DomainResource.modifierExtension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status" ];
fhir:Coding.code [ fhir:value "closed-gap" ] ] ]
];
fhir:DetectedIssue.status [ fhir:value "final"];
fhir:DetectedIssue.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "CAREGAP" ];
fhir:Coding.display [ fhir:value "Caregap" ] ]
];
fhir:DetectedIssue.patient [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
];
fhir:DetectedIssue.evidence [
fhir:index 0;
fhir:DetectedIssue.evidence.detail [
fhir:index 0;
fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport02" ] ]
].
<http://example.org/fhir/gaps/Encounter/gaps-encounter01> a fhir:Encounter;
fhir:Resource.id [ fhir:value "gaps-encounter01"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"gaps-encounter01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter "gaps-encounter01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</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 'ambulatory')</p><p><b>type</b>: Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99201)</span></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>period</b>: 2020-05-30 12:00:00+0000 --> 2020-05-31 12:00:00+0000</p></div>"
];
fhir:Encounter.status [ fhir:value "finished"];
fhir:Encounter.class [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "AMB" ];
fhir:Coding.display [ fhir:value "ambulatory" ]
];
fhir:Encounter.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
fhir:Coding.code [ fhir:value "99201" ];
fhir:Coding.display [ fhir:value "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family." ] ]
];
fhir:Encounter.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
];
fhir:Encounter.period [
fhir:Period.start [ fhir:value "2020-05-30T00:00:00-00:00"^^xsd:dateTime ];
fhir:Period.end [ fhir:value "2020-05-31T00:00:00-00:00"^^xsd:dateTime ]
].
<http://example.org/fhir/gaps/Patient/gaps-patient01> a fhir:Patient;
fhir:Resource.id [ fhir:value "gaps-patient01"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"gaps-patient01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient "gaps-patient01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = 'Asian', stated as 'Asian')</p><p><b>value</b>: Asian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = 'Hispanic or Latino', stated as 'Hispanic or Latino')</p><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: 999995992 (use: USUAL)</p><p><b>name</b>: Parker Susan </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2028-9" ];
fhir:Coding.display [ fhir:value "Asian" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "Asian" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2135-2" ];
fhir:Coding.display [ fhir:value "Hispanic or Latino" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "Hispanic or Latino" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "usual" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "MR" ];
fhir:Coding.display [ fhir:value "Medical Record Number" ] ] ];
fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
fhir:Identifier.value [ fhir:value "999995992" ]
];
fhir:Patient.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Susan" ];
fhir:HumanName.given [
fhir:value "Parker";
fhir:index 0 ]
];
fhir:Patient.gender [ fhir:value "female"];
fhir:Patient.birthDate [ fhir:value "1965-01-01"^^xsd:date].
<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization;
fhir:Resource.id [ fhir:value "gaps-organization-reportingvendor"];
fhir:Resource.meta [
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><a name=\"gaps-organization-reportingvendor\"> </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 Organization "gaps-organization-reportingvendor" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-organization.html\">QICoreOrganization</a></p></div><p><b>identifier</b>: Tax ID number: 123446789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Payer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-organization-type.html\">Organization type</a>#pay)</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 USA </p></div>"
];
fhir:Organization.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "TAX" ];
fhir:Coding.display [ fhir:value "Tax ID number" ] ] ];
fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.4" ];
fhir:Identifier.value [ fhir:value "123446789" ];
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "www.irs.gov" ] ]
];
fhir: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 "pay" ];
fhir:Coding.display [ fhir:value "Payer" ] ]
];
fhir:Organization.name [ fhir:value "GapsReportingVendor01"];
fhir:Organization.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "(+1) 401-545-1212" ]
];
fhir:Organization.address [
fhir:index 0;
fhir:Address.line [
fhir:value "13 Drive Street";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Cityplace" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "01101" ];
fhir:Address.country [ fhir:value "USA" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2020+ HL7 International - Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-deqm#3.1.0 based on FHIR 4.0.1. Generated 2022-11-21
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